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 4/19/2021
2879 Irrevocable Letter of Credit 4/2/2021
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 9/28/2022
332 Cash Bond 4/2/2021
4172 Assignment of Certificate of Deposit 4/2/2021
4707 Three Day Import Payment Voucher 10/22/2021
4752 Distributor's Pool Bond Agreement 4/16/2014
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 10/21/2021
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 7/15/2022
4923-H Highway Use Motor Fuel Refund Claim for Rate Increases (NOTE: For optimal functionality, save the form to your computer BEFORE completing or printing and utilize Adobe Reader.) 6/29/2022
4923C Tax Rate $0.22 Schedule A -- Marine Fuel Purchases By County 7/15/2022
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 7/15/2022
4924 Non-Highway Use Motor Fuel Refund Application 5/16/2022
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
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
5141 Public Mass Transportation Operator Exemption Certificate 5/23/2014
5378 Agreement to Receive Refund by ACH Transfer 11/7/2021
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 10/20/2021
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 5/13/2022
588-B $0.195 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule 5/13/2022
588-C $0.11 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule 5/13/2022
588-D $0.22 Tax Rate Schedule C - Auxiliary Equipment Deduction Schedule 7/15/2022
591 Supplier Delinquent Tax Collection 10/21/2021
795 Missouri Motor Fuel Tax License Application 10/20/2021
8A Affidavit for Bad Debt Loss 4/23/2014