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DR 7118 (01/12/23) 
COLORADO DEPARTMENT OF REVENUE 
Denver CO 80261-0009 
(303) 205-8205
Tax.Colorado.gov                  Fuel Tax Refund Claim
                                                    Instructions
                                                 See form on page 2

General Information                                          Form Instructions
A claim for refund must be submitted within 12 months after  If including invoices with claim, indicate number of invoices 
the date of purchase of the fuel. Only one claim may be      under Number of Invoices box. Enter first date of invoice 
filed in a calendar quarter.                                 in the Earliest Date box, and the Last Date included in the 
                                                             Latest Date box. (Optional) 
A refund will not be allowed when:
                                                             Complete Refund Period as first month of calendar quarter 
the excise tax was not paid, 
                                                             and last month of calendar quarter.” “ ie:  01/23-3/23”
for operating a motor vehicle on public roads, 
                                                             Enter your Colorado Account number (if known) and the 
  streets or highways, except as provided in C.R.S. 
                                                             FEIN or Social Security Number of the business.
  39-27-103(2),
                                                             Line 1 — Enter number of gallons used for business 
the total quantity claimed is less than 20 gallons.  
                                                             purposes and drawn from bulk storage facilities or 
For additional information, see the Fuel Users Guide.        purchased from a dealer for exempt use. 
                                                             Line 2 — Enter the approved refund rate. The approved 
Refund Permit
                                                             refund rate is available on Revenue Online. 
A refund permit must be issued before any claim for refund 
can be paid. This can be obtained by filing a tax refund     Line 3 — For each fuel type, multiply line 1 by the approved 
permit application (form DR 7189). The first claim may       percentage on line 2. 
accompany the application. A permit is not transferable.     Line 4 — Colorado Fuel Excise Tax Rate per gallon.
Claimants are required to notify the office of changes 
in address or nature of business including changes to        Line 5 — Amount of refund claim: multiply line 3 by tax rate 
ownership, name, DBA, FEIN, and operations. Changes to a     on line 4. 
FEIN will require a new application be approved. 
                                                             IFTA Vehicles

Invoices                                                     Taxpayers that have an IFTA account must submit a 
Invoices and claims are required to be maintained for three  separate refund claim for their IFTA vehicles. To report 
years. Failure to comply with any of the requirements may    IFTA gallons, check box marked IFTA gallons and report 
result in the disallowance of your claim, or may subject you Colorado tax paid gallons.
to penalties.
                                                             •  Report fuel placed in the ordinary fuel tank of a vehicle 
                                                             whose miles are reported on an IFTA return, and
Propane (LPG)
                                                             •  You must attach a copy of the corresponding IFTA return 
Taxpayers requesting a refund on exempt use of propane       to each quarterly claim for refund.
must attach copies of invoice(s) verifying tax paid.
                                                             Mail to: 
                                                             Colorado Department of Revenue
                                                             Denver, CO 80261-0009

                                                             or File via our website at Colorado.gov/RevenueOnline



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               Departmental Use Only
                                                   DR 7118 (01/12/23) 
                                                   COLORADO DEPARTMENT OF REVENUE 
                                                   Denver CO 80261-0009 
                                                   (303) 205-8205
                                                   Tax.Colorado.gov
                                                   Page 1 of 1

                                                                      Fuel Tax Refund Claim
    *147118V219999*

                                                   Number of Invoices Earliest Date (MM/DD/YY) Latest Date (MM/DD/YY)
IFTA Gallons                                                                                                         7118-650
Last Name or Business Name                                            First Name                                        Middle Initial

Street Address                                                        City                                              State Zip

Colorado Permit/Account Number                     Refund Period (MM/YY – MM/YY)    FEIN                             SSN
                                                                  
                                                   Whole Gallons Only — No Decimals
                            Gasoline Gasohol       Special Fuel         Aviation    Aviation    Compressed           Liquefied        LPG
                                                   (Diesel, Etc.)          Gas           Fuel   Natural Gas          Natural Gas

 1. Total number of  
    gallons of qualifying  
    fuel purchased in 
    Colorado.  

  2. Approved refund  
    rate

  3. Net number of  
    gallons of fuel  
    purchased in  
    Colorado for which  
    refund is being  
    claimed. (Line 1  
    multiplied by line 2,  
    for each fuel type) 
  4. Colorado Fuel           $0.22           $0.22  $0.205                 $0.06         $0.04   $0.183                 $0.12         $0.135
    Excise                                                                                                                             
    Tax Rate per gallon.

  5. Amount of Refund  
    Claim (Multiply line 3  
    by tax rate on line 4)

Total amount of refund claim. Add all columns of line 5.                                        $
I certify and declare that this claim for refund is true and correct and that it is made under the penalties of perjury in the 
second degree.
Name of Claimant, Corporation or Partnership                               Signature of Claimant

Email Address                                                              Date (MM/DD/YY)                 Telephone Number






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