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

 

Search Forms
Archives
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