Forms and Manuals
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Motor Vehicle Forms
Some motor vehicle forms are not available electronically, such as multi-part forms.
The Request for Mail Order Forms may be used to order one copy or several copies of forms.
Motor Vehicle Dealers and Lienholders - Please use the same online form when you request bulk quantities of motor vehicle forms.
Additional motor vehicle form information
Number | Name | Tax Year | Revision Date |
---|---|---|---|
11A | K-1 Kerosene Exemption Certificate | 5/21/2014 | |
1531 | Fuel Delivered for Marine Use | 4/23/2014 | |
2796 | Fuel Tax Registration Change Request | 2/25/2014 | |
2827 | Power of Attorney | 4/24/2024 | |
2827I | Power of Attorney - Instructions for Designating an Affected Business Entity Representative | 11/5/2023 | |
2879 | Irrevocable Letter of Credit | 1/31/2024 | |
2992 | Fuel Tax Exemption Certificate - Sales to U.S. Government | 4/15/2014 | |
2994 | Schedule of Supplier of Permissive Supplier Terminal Rack Removals | 1/4/2016 | |
3008 | Schedule of Terminal Operator Disbursements | 1/4/2016 | |
331 | Surety Bond | 1/31/2024 | |
332 | Cash Bond | 2/29/2024 | |
4172 | Assignment of Certificate of Deposit | 1/31/2024 | |
4707 | Three Day Import Payment Voucher (NOTE: This form is for use for report periods beginning on or after April 1, 2024.) | 3/31/2024 | |
4707 | Three Day Import Payment Voucher (NOTE: This form is for use for report periods ending before April 1, 2024.) | 11/29/2022 | |
4752 | Distributor's Pool Bond Agreement | 11/30/2022 | |
4754 | Schedule of Terminal Operator Receipts | 1/4/2016 | |
4755 | Notification of Loss of Motor Fuel | 9/5/2017 | |
4756 | Affidavit for Loss of Motor Fuel | 10/21/2021 | |
4757 | Distributor's Monthly Tax Report (NOTE: This form is for use for report periods beginning on or after April 1, 2024.) | 3/31/2024 | |
4757 | Distributor's Monthly Tax Report (NOTE: This form is for use for report periods ending before April 1, 2024.) | 12/14/2022 | |
4759 | Schedule of Pool Bond - Bond Contributions - 5T | 10/21/2021 | |
4760 | Supplier Notification of Uncollectible Tax | 1/4/2016 | |
4776 | Federal Government Exemption Certificate | 9/5/2017 | |
4782 | Transporter Report | 2/4/2020 | |
4783 | Consumer Payment Voucher | 10/20/2021 | |
4785 | Schedule of Terminal Operator Inventories Schedule 1/7A | 1/4/2016 | |
4923 | Motor Fuel Refund Claim(NOTE: For optimal functionality, save the form to your computer BEFORE completing or printing and utilize Adobe Reader.) | 7/17/2024 | |
4923 - Print Only | Non-Highway Use Motor Fuel Refund Claim (PRINT ONLY) | 7/17/2024 | |
4923S-A | $0.17 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 5/17/2022 | |
4923S-B | $0.195 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 5/18/2022 | |
4923S-C | $0.22 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 6/6/2024 | |
4923S-D | $0.245 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 6/6/2024 | |
4923S-E | $0.27 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 7/11/2024 | |
4924 | Non-Highway Use Motor Fuel Refund Application | 7/17/2024 | |
4925A | Tax Rate $0.17 Schedule A -- Marine Fuel Purchases By County | 5/13/2022 | |
4925B | Tax Rate $0.195 Schedule A -- Marine Fuel Purchases By County | 5/13/2022 | |
4925C | Tax Rate $0.22 Schedule A -- Marine Fuel Purchases By County | 7/15/2022 | |
4925D | Tax Rate $0.245 Schedule A -- Marine Fuel Purchases By County | 11/1/2023 | |
4925E | Tax Rate $0.27 Schedule A -- Marine Fuel Purchases By County | 7/11/2024 | |
5084 | Agricultural Gas Bulk Sale Exemption Certificate | 5/23/2014 | |
5085A | Tax Rate $0.17 Bulk Deliveries of Agricultural Gasoline | 5/13/2022 | |
5085B | Tax Rate $0.195 Bulk Deliveries of Agricultural Gasoline | 5/13/2022 | |
5085C | Tax Rate $0.22 Bulk Deliveries of Agricultural Gasoline | 7/15/2022 | |
5085D | Tax Rate $0.245 Bulk Deliveries of Agricultural Gasoline | 7/3/2023 | |
5085E | Tax Rate $0.27 Bulk Deliveries of Agricultural Gasoline | 7/11/2024 | |
5141 | Public Mass Transportation Operator Exemption Certificate | 5/23/2014 | |
5378 | Agreement to Receive Refund by ACH Transfer | 2/28/2024 | |
5631 | Motor Fuel Refund Claim (Compressed Natural Gas (CNG) Liquefied Natural Gas (LNG) and Propane Only) | 5/13/2022 | |
5636 | Marina Operator Exemption Certificate | 8/27/2015 | |
572 | Supplier/Permissive Supplier's Monthly Tax Report (NOTE: This form is for use for report periods beginning on or after April 1, 2024.) | 4/1/2024 | |
572 | Supplier/Permissive Supplier's Monthly Tax Report (NOTE: This form is for use for report periods ending before April 1, 2024.) | 11/30/2022 | |
573 | Schedule of Supplier Tax-Paid Receipts | 1/4/2016 | |
574 | Distributor's Schedule of Receipts | 9/5/2017 | |
575 | Terminal Operator Report | 1/4/2016 | |
587 | Schedule of Distributor Disbursements | 9/5/2017 | |
588-A | $0.17 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 6/29/2023 | |
588-B | $0.195 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 6/29/2023 | |
588-C | $0.11 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 6/29/2023 | |
588-D | $0.22 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 6/29/2023 | |
588-E | $0.245 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 7/3/2023 | |
588-F | $0.27 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 7/11/2024 | |
591 | Supplier Delinquent Tax Collection (NOTE: This form is for use for report periods beginning on or after April 1, 2024.) | 3/31/2024 | |
591 | Supplier Delinquent Tax Collection (NOTE: This form is for use for report periods ending before April 1, 2024.) | 11/29/2022 | |
795 | Missouri Motor Fuel Tax License Application | 10/20/2021 | |
8A | Affidavit for Bad Debt Loss | 4/23/2014 |