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 |
|---|---|---|---|
| 11APDF Document | K-1 Kerosene Exemption Certificate | 5/21/2014 | |
| 1531PDF Document | Fuel Delivered for Marine Use | 4/23/2014 | |
| 2796PDF Document | Fuel Tax Registration Change Request | 2/25/2014 | |
| 2827PDF Document | Power of Attorney | 4/24/2024 | |
| 2827IPDF Document | Power of Attorney - Instructions for Designating an Affected Business Entity Representative | 2/10/2025 | |
| 2879PDF Document | Irrevocable Letter of Credit | 1/31/2024 | |
| 2992PDF Document | Fuel Tax Exemption Certificate - Sales to U.S. Government | 4/15/2014 | |
| 2994PDF Document | Schedule of Supplier of Permissive Supplier Terminal Rack Removals | 1/4/2016 | |
| 3008PDF Document | Schedule of Terminal Operator Disbursements | 1/4/2016 | |
| 331PDF Document | Surety Bond | 1/31/2024 | |
| 332PDF Document | Cash Bond | 2/29/2024 | |
| 4172PDF Document | Assignment of Certificate of Deposit | 1/31/2024 | |
| 4707PDF Document | Three Day Import Payment Voucher (NOTE: This form is for use for report periods beginning on or after April 1, 2024.) | 3/31/2024 | |
| 4707PDF Document | Three Day Import Payment Voucher (NOTE: This form is for use for report periods ending before April 1, 2024.) | 11/29/2022 | |
| 4752PDF Document | Distributor's Pool Bond Agreement | 11/30/2022 | |
| 4754PDF Document | Schedule of Terminal Operator Receipts | 1/4/2016 | |
| 4755PDF Document | Notification of Loss of Motor Fuel | 9/5/2017 | |
| 4756PDF Document | Affidavit for Loss of Motor Fuel | 10/21/2021 | |
| 4757PDF Document | Distributor's Monthly Tax Report (NOTE: This form is for use for report periods beginning on or after April 1, 2024.) | 3/31/2024 | |
| 4757PDF Document | Distributor's Monthly Tax Report (NOTE: This form is for use for report periods ending before April 1, 2024.) | 12/14/2022 | |
| 4759PDF Document | Schedule of Pool Bond - Bond Contributions - 5T | 10/21/2021 | |
| 4760PDF Document | Supplier Notification of Uncollectible Tax | 1/4/2016 | |
| 4776PDF Document | Federal Government Exemption Certificate | 9/5/2017 | |
| 4782PDF Document | Transporter Report | 2/4/2020 | |
| 4783PDF Document | Consumer Payment Voucher | 1/2/2025 | |
| 4785PDF Document | Schedule of Terminal Operator Inventories Schedule 1/7A | 1/4/2016 | |
| 4923PDF Document | Motor Fuel Refund Claim(NOTE: For optimal functionality, save the form to your computer BEFORE completing or printing and utilize Adobe Reader.) | 7/15/2024 | |
| 4923 - Print OnlyPDF Document | Non-Highway Use Motor Fuel Refund Claim (PRINT ONLY) | 7/17/2024 | |
| 4923-HPDF Document | Highway Use Motor Fuel Refund Claim for Rate Increases(Claims must be filed July 1, 2025 through September 30, 2025. NOTE: For optimal functionality, save the form to your computer BEFORE completing or printing and utilize Adobe Reader.) | 11/22/2024 | |
| 4923-H Print OnlyPDF Document | Highway Use Motor Fuel Refund Claim for Rate Increases (PRINT ONLY) | 11/22/2024 | |
| 4923S-BPDF Document | $0.195 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 5/18/2022 | |
| 4923S-CPDF Document | $0.22 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 6/6/2024 | |
| 4923S-DPDF Document | $0.245 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 6/6/2024 | |
| 4923S-EPDF Document | $0.27 Tax Rate Statement of Missouri Fuel Tax Paid for Non-Highway Use | 7/7/2024 | |
| 4924PDF Document | Non-Highway Use Motor Fuel Refund Application | 7/17/2024 | |
| 4925BPDF Document | Tax Rate $0.195 Schedule A -- Marine Fuel Purchases By County | 5/13/2022 | |
| 4925CPDF Document | Tax Rate $0.22 Schedule A -- Marine Fuel Purchases By County | 7/15/2022 | |
| 4925DPDF Document | Tax Rate $0.245 Schedule A -- Marine Fuel Purchases By County | 11/1/2023 | |
| 4925EPDF Document | Tax Rate $0.27 Schedule A -- Marine Fuel Purchases By County | 7/11/2024 | |
| 5084PDF Document | Agricultural Gas Bulk Sale Exemption Certificate | 5/23/2014 | |
| 5085BPDF Document | Tax Rate $0.195 Bulk Deliveries of Agricultural Gasoline | 5/13/2022 | |
| 5085CPDF Document | Tax Rate $0.22 Bulk Deliveries of Agricultural Gasoline | 7/15/2022 | |
| 5085DPDF Document | Tax Rate $0.245 Bulk Deliveries of Agricultural Gasoline | 7/3/2023 | |
| 5085EPDF Document | Tax Rate $0.27 Bulk Deliveries of Agricultural Gasoline | 7/11/2024 | |
| 5141PDF Document | Public Mass Transportation Operator Exemption Certificate | 5/23/2014 | |
| 5378PDF Document | Agreement to Receive Refund by ACH Transfer | 2/28/2024 | |
| 5631PDF Document | Motor Fuel Refund Claim (Compressed Natural Gas (CNG) Liquefied Natural Gas (LNG) and Propane Only) | 5/13/2022 | |
| 5636PDF Document | Marina Operator Exemption Certificate | 8/27/2015 | |
| 572PDF Document | 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 | |
| 572PDF Document | Supplier/Permissive Supplier's Monthly Tax Report (NOTE: This form is for use for report periods ending before April 1, 2024.) | 11/30/2022 | |
| 573PDF Document | Schedule of Supplier Tax-Paid Receipts | 1/4/2016 | |
| 574PDF Document | Distributor's Schedule of Receipts | 9/5/2017 | |
| 575PDF Document | Terminal Operator Report | 1/4/2016 | |
| 587PDF Document | Schedule of Distributor Disbursements | 9/5/2017 | |
| 588-BPDF Document | $0.195 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 6/29/2023 | |
| 588-CPDF Document | $0.11 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 6/29/2023 | |
| 588-DPDF Document | $0.22 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 6/29/2023 | |
| 588-EPDF Document | $0.245 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 7/3/2023 | |
| 588-FPDF Document | $0.27 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule | 7/11/2024 | |
| 591PDF Document | Supplier Delinquent Tax Collection (NOTE: This form is for use for report periods beginning on or after April 1, 2024.) | 3/31/2024 | |
| 591PDF Document | Supplier Delinquent Tax Collection (NOTE: This form is for use for report periods ending before April 1, 2024.) | 11/29/2022 | |
| 795PDF Document | Missouri Motor Fuel Tax License Application | 10/20/2021 | |
| 8APDF Document | Affidavit for Bad Debt Loss | 4/23/2014 |