Enlarge image | 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 |
Enlarge image | 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 |