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                New York State Department of Taxation and Finance
                Claim for Refund/Reimbursement of Taxes Paid on Fuel                                                                   AU‑631
                                                                                                                                                          (4/11)
                Used in a Vessel Engaged in Commercial Fishing
                Tax Law — Articles 12‑A, 13‑A, 28, and 29

 Employer identification number (EIN) or social security number (SSN)         Business telephone number  For tax period:
                                                                              (     )                    Beginning                    Ending
 Legal name                                                                                                    /     /                         /     /
                                                                                                                         For office use only
 DBA (doing business as) name (if different from legal name)                                             Total approved

 Street address                                                                                          Audited by                                Date

 City, state, and ZIP code                                                                               Approved by                               Date

 Name of vessel                                                                                          Approved by                               Date

                                                                               Column A                        Column B                        Column C
Computation of Refund/Reimbursement                                           Gallons (from schedules)   Tax paid (from schedules)             Totals

  1  Motor fuel excise tax paid ......................................      1

  2 Diesel motor fuel excise tax paid ...........................           2
  3 Total Article 12‑A reimbursement requested
     (add lines 1 and 2, Column B)  .................................       3

  4 Petroleum business tax paid (motor fuel) ...............                4

  5 Petroleum business tax paid (diesel motor fuel) ....                    5
  6 Total Article 13‑A reimbursement requested
     (add lines 4 and 5, Column B)  .................................       6

  7 State and local sales tax (motor fuel) .....................            7

  8 State and local sales tax (diesel motor fuel)...........                8
  9 Total state and local sales tax refund requested
     (add lines 7 and 8, Column B)  .................................       9
 10  Total refund/reimbursement requested (add lines 3,
       6 and 9, Column C)  ................................................ 10

  Third –     Do you want to allow another person to discuss this claim with the Tax Dept? (see instructions)       Yes    (complete the following)   No
   party      Designee’s name                                   Designee’s phone number                        Personal identification
 designee                                                       (    )                                         number (PIN)

Certification: I declare that to the best of my knowledge and belief this claim is just true, and correct. I understand that a willfully false 
representation is a misdemeanor under sections 1812, 1812(f), and 1817 of the New York State Tax Law and section 210.45 of the Penal Law, 
punishable by imprisonment for up to a year and a fine of up to $10,000 for an individual or $20,000 for a corporation. I understand that the 
Tax Department is authorized to investigate the validity of the exemption claimed or the accuracy of any information entered on this form.
  Signature of authorized person                                                        Official title                             Date

   Paid      Preparer’s signature                                             Date      Preparer’s NYTPRIN              Preparer’s SSN or PTIN     Mark  
                                                                                                                                                   an  Xif
  preparer                                                                                                                                         self-employed
    use      Preparer’s firm name (or yours, if self-employed)              Firm’s EIN                 E-mail  
   only
 Address                                                                                                                               Telephone number 
                                                                                                                                       (      )
                Mail to:  NYS TAX DEPARTMENT,  FUEL TAX REFUND UNIT,  PO BOX 5501, ALBANY NY 12205‑0501



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Page 2 of 4  AU‑631 (4/11)            Schedule A ‑ Motor Fuel Purchases
                                      (Attach additional sheets if necessary.)
   Date of                   Seller’s                              Invoice            Number of    Excise      Petroleum business                    Sales
 purchase          Name               City              County     number             gallons      tax paid    tax paid                              tax paid

 11  Total gallons purchased (enter here and on lines 1, 4, and 7, Column A)  ........

 12  Total excise tax paid/reimbursement claimed (enter here and on line 1, Column B)  ..........  

 13 Total petroleum business tax paid/reimbursement claimed (enter here and on line 4, Column B)  .............

 14 Total state and local sales tax paid/refund claimed (enter here and on line 7, Column B)  ...................................................... 



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                             Schedule B ‑ Diesel Motor Fuel Purchases                                          AU‑631 (4/11)                         Page 3 of 4
                                                 (Attach additional sheets if necessary.)
   Date of                   Seller’s                              Invoice            Number of    Excise      Petroleum business                    Sales
 purchase  Name                       City              County     number             gallons      tax paid    tax paid                              tax paid

 15  Total gallons purchased (enter here and on lines 2, 5, and 8, Column A)  ........

 16  Total excise tax paid/reimbursement claimed (enter here and on line 2, Column B)  ..........  

 17 Total petroleum business tax paid/reimbursement claimed (enter here and on line 5, Column B)  .............

 18 Total state and local sales tax paid/refund claimed (enter here and on line 8, Column B)  ...................................................... 



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Page 4 of 4  AU‑631 (4/11)
                                                            Instructions
Who may use this form                                                       You cannot revoke the third‑party designee authorization or change the 
Any person who is a commercial fisherman, defined as a person               PIN. However, the authorization will automatically end on the due date 
licensed by an appropriate federal or state agency for the purpose of       (without regard to extensions) for filing your claim.
engaging in the commercial harvesting of fish and who is engaged in 
the business of harvesting fish for sale, must use this form to claim a     Paid preparer
refund/reimbursement of the motor fuel or diesel motor fuel excise tax,     If you pay someone to prepare Form AU‑631, the paid preparer 
the petroleum business tax, and the state and local sales tax on the        must also sign it and fill in the other blanks in the paid preparer’s area. 
fuel purchased for use in the operation of a commercial fishing vessel      If someone prepares Form AU-631 for you and does not charge you, 
engaged in the harvesting of fish for sale.                                 that person should not sign it.
                                                                            Note to paid preparers — When signing Form AU-631, you must 
When to File                                                                enter your New York tax preparer registration identification number 
A claim for refund/reimbursement should be filed for a full monthly         (NYTPRIN) if you are required to have one. (Information on the New 
period; however, a claimant may include more than one month in a            York State Tax Preparer Registration Program is available on our 
single claim. Each monthly period should begin on the first and end on      Web site.) Also, you must enter your federal preparer tax identification 
the last day of a calendar month.                                           number (PTIN) if you have one; if not, you must enter your social 
                                                                            security number (SSN). (PTIN information is available at www.irs.gov.)
Claims for reimbursement of the motor fuel or diesel motor fuel excise 
tax and the petroleum business tax must be filed within three years 
from the date of purchase. Claims for refund of the New York State and      Line instructions
local sales tax should be filed within three years from the date the tax    Lines 1 and 2 — Enter the number of gallons and applicable excise 
was due.                                                                    tax paid from Schedule A and Schedule B.
                                                                            Lines 4 and 5 — Enter the number of gallons and applicable petroleum 
General Instructions                                                        business tax paid from Schedule A and Schedule B.
In order to expedite the processing of a refund/reimbursement claim, a      Lines 7 and 8 — Enter the number of gallons and applicable state and 
claimant must furnish the necessary substantiation and adhere to the        local sales tax paid from Schedule A and Schedule B.
following procedures:
•  You must complete the entire claim form, including schedules A           Schedules A and B
and B. Attach a worksheet, if necessary, and include adding                 Complete all columns of Schedules A and B. Enter information 
machine tapes if the worksheet is not computer‑generated.                   for those purchases for which a refund/reimbursement is claimed. 
•  You must furnish legible copies of purchase invoices showing             Attach copies of all invoices listed. Attach additional sheets if 
each tax (motor fuel and/or diesel motor fuel excise tax, petroleum         necessary. Be sure to total the Number of gallons, Excise tax paid, 
business tax, and sales tax) listed separately.                             Petroleum business tax paid and Sales tax paid columns. The totals of 
                                                                            these columns must be carried to the front page as indicated.
•  You must include a copy of your current United States Coast Guard 
documentation, if your vessel is required to be documented, and 
with the first claim each calendar year include a copy of your current      Need help?
Federal Fisheries Permit and/or your current license issued by the 
New York State Department of Environmental Conservation.                     Internet access: www.tax.ny.gov
•  You must include the telephone number for your business in case             (for information, forms, and publications)
we need to contact you concerning your refund/reimbursement. 
Additional documentation may be requested by the Tax Department             Miscellaneous Tax Information Center:                (518) 457-5735
upon review of the refund/reimbursement claim submitted.                    To order forms and publications:                     (518) 457-5431
Third‑party designee                                                        Text Telephone (TTY) Hotline
If you want to authorize another person (third‑party designee) to            (for persons with hearing and
discuss your claim with the New York State Tax Department, mark               speech disabilities using a TTY):                  (518) 485-5082
an Xin the Yes box in the Third-party designeearea of your claim. 
Also, enter the designee’s name, phone number, and any five‑digit 
number the designee chooses as his or her personal identification           Privacy notification — The Commissioner of Taxation and Finance may 
number (PIN). If you want to authorize the paid preparer who signed         collect and maintain personal information pursuant to the New York State 
your claim to discuss it with the Tax Department, enter Preparer in the     Tax Law, including but not limited to, sections 5‑a, 171, 171‑a, 287, 308, 
space for the designee’s name. You do not have to provide the other         429, 475, 505, 697, 1096, 1142, and 1415 of that Law; and may require 
information requested.                                                      disclosure of social security numbers pursuant to 42 USC 405(c)(2)(C)(i).
If you mark the Yes box, you are authorizing the Tax Department to          This information will be used to determine and administer tax liabilities 
                                                                            and, when authorized by law, for certain tax offset and exchange of tax 
discuss with the designee any questions that may arise during the           information programs as well as for any other lawful purpose.
processing of your claim. You are also authorizing the designee to:
•  give the Tax Department any information that is missing from your        Information concerning quarterly wages paid to employees is provided 
claim;                                                                      to certain state agencies for purposes of fraud prevention, support 
                                                                            enforcement, evaluation of the effectiveness of certain employment and 
•  call the Tax Department for information about the processing of your     training programs and other purposes authorized by law.
claim or the status of your refund; and
                                                                            Failure to provide the required information may subject you to civil or 
•  respond to certain Tax Department notices that you shared with the       criminal penalties, or both, under the Tax Law.
designee about math errors, offsets, and claim preparation. The 
notices will not be sent to the designee.                                   This information is maintained by the Manager of Document Management, 
You are not authorizing the designee to receive your refund check,          NYS Tax Department, W A Harriman Campus, Albany NY 12227; telephone 
bind you to anything (including any additional tax liability), or otherwise (518) 457‑5181.
represent you before the Tax Department. If you want the designee to 
perform those services for you, you must file Form POA‑1, Power of 
Attorney, making that designation with the Tax Department. Copies of 
statutory tax notices or documents (such as a Notice of Deficiency) will 
only be sent to your designee if you file Form POA‑1.






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