Fuel Allowance Form - Michigan
Michigan Department of Treasury
3978 (Rev. 8-08)
Fuel Supplier Return
340-SUP
Issued under authority of P.A. 403 of 2000, as amended. Filing is Mandatory.
This report is due
PART 1: TAX COMPUTATION
8. Taxable gallons from line 38.
9. Tax-paid purchases.
10. Exempted credit card sales to U.S. Gov.
11. Exempt credit card sales to State and Local Gov.
12. Tax deemed uncollectible.
13. Subtract lines 9-12 from line 8.
14. Collection Allowance. Multiply line 13 by 1.5%.
15. Subtract line 14 from line 13.
16. Diversions TO Michigan.
17. Add lines 15-16.
TAX RATE
18. Multiply line 17 by tax rate.
19. Credit for interstate flights.
20. Subtract line 19 from line 18.
21. Tax recovered that was deducted as uncollectible.
22. Add lines 20-21.
23. Add Columns 1 and 2 from line 22 and enter in 23a.
Add columns 3 and 4 and enter in 23b. Carry aviation total
from line 22 to 23c.
24. Add tax due from all columns of line 23.
25. Penalty.
26. Interest.
27. Total remittance. Add lines 24-26.
Schedule 1. Gasoline
2. Ethanol Blends
(E70 - E99)
3. Undyed Petroleum
Diesel
4. Undyed Biodiesel
(B05 or higher)
See instructions for further information.
23a. 23b. 23c.
.19 .19 .15 .15 .03
$$ $$$
$
$
$
$
1
13C
13H
13F
11A
5. Aviation
$$ $$$
$$ $$$
$$ $$$
$$$
www.michigan.gov/treasury
1. Company Name and Mailing Address
2. Account Number (FEIN or TR) 3. Report Period (MM/YYYY)2A. License Number
4. Contact Person Name
5. Telephone Number
7. E-Mail A ddress
6. Fax Number
Page 1/5
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