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Indiana Department of Revenue

DOR > Forms  > Fuel & Environmental (Gasoline) Tax Forms Fuel & Environmental (Gasoline) Tax Forms

Alternative Fuel Forms

Name State Form
Number
Description File Type
SF-801 46292 Alternative Fuel Decal Application fill-in pdf

Aviation Fuel Excise Tax Forms

Name State Form
Number
Description File Type
AVF-1 55312 Aviation Fuel Excise Tax Application fill-in pdf
AVF-105 55314 Aviation Fuel Excise Tax Exemption Certificate fill-in pdf

Bonds & Licensing Forms

Name State Form Number Description File Type
BR-1 55626 Request for Bond Release fill-in pdf
FT-1 46297 Fuel Tax License Application fill-in pdf
GT-160 55536 Gasoline Use Tax Bond fill-in pdf
Online BT-1   Online Application to register with Indiana for sales tax, withholding tax, food & beverage tax, county innkeeper tax, motor vehicle rental excise tax N/A
MF-102 46845 Gasoline Distributor's License Bond fill-in pdf
MF-202 50224 Oil Inspection Bond fill-in pdf
MF-134 46843 Cash Bond Form fill-in pdf
MF-135 49169 Irrevocable Standby Letter of Credit fill-in pdf
MF-627 49115 Cancellation of License Form fill-in pdf
MF-629 49089 Change of Address Form fill-in pdf
PDL-1 55549 Propane Dealer's License Application fill-in pdf

Gasoline Tax Forms

Name State Form Number Description File Type
MF-360 49276 Gasoline Distributor's Consolidated Monthly Tax Return fill-in pdf
MF-360X 49875 Amended Consolidated Gasoline Monthly Tax Return fill-in pdf
MF-360 Schedule 11 55345 Schedule of State Diversion Corrections fill-in pdf
Schedules 1-4 49081 Schedule of Receipts pdf
Schedules 5-10 49082 Schedule of Disbursements pdf
Schedule E-1   Explanation of Adjustments pdf
MF-600 11874 Petroleum Severance Tax Return fill-in pdf

Miscellaneous Forms

Name State Form Number Description File Type
BD-100 51824 Biodiesel Tax Credits Application fill-in pdf
BD-200   Special Fuel Exemption Application for Biodiesel Personal Production fill-in pdf
CCP-100   Coal Combustion Credit Application fill-in pdf
EP-100 51823 Ethanol Production Credit Application pdf

Refund Forms

Name State Form Number Description File Type
GA-110L 615 Claim for Refund fill-in pdf
REF-1000 50854 Consolidated Application for Fuel Tax Refund fill-in pdf
REF-1000A 48389 Affidavit of Certification of Taxes Paid Fuel Invoices fill-in pdf

Special Fuel Forms

Name State Form Number Description File Type
SF-2 46841 Special Fuel License Bond fill-in pdf
SF-401 46287 Transporter Monthly Tax Return fill-in pdf
SF-401X 47735 Amended Transporter Monthly Tax Return pdf
SF-900 49877 Consolidated Special Fuel Monthly Tax Return fill-in pdf
SF-900X 47737 Amended Consolidated Special Fuel Monthly Tax Return fill-in pdf
SF-IVP 46635 Importer Verification Payment Voucher pdf
FT-501 46291 Terminal Operators Monthly Return fill-in pdf
FT-501X 47736 Amended Terminal Operators Monthly Return fill-in pdf
Schedules 1-4 49081 Schedule of Receipts pdf
Schedules 5-10 49082 Schedule of Disbursements pdf
Schedule 10E 49084 Tax Uncollectable from Eligible Purchasers pdf
Schedule 11 49085 Schedule of Diversions pdf
Schedules 1A, 2A, and 3A 49083 Transporter Schedule of Deliveries pdf
Schedule 501A 49088 Terminal Operators Schedule of Receipts pdf
Schedule 501B 49091 Terminal Operators Schedule of Disbursements pdf
Schedule 501I 49092 Terminal Operators Inventory Ownership pdf

Environmental Forms

Name State Form Number Description File Type
HC-500 46332 Hazardous Chemical Inventory Fee Return fill-in pdf
HW-020 Hazardous Waste Disposal Tax Return (Contact the Indiana Department of Environmental Management)
SW-100 Solid Waste Management Fee Return (Contact the Indiana Department of Environmental Management)
IDEM   Notification for Underground Storage Tanks n/a