SFU
Maine Revenue Services
Special Fuel Users Tax Report
00
*1108300*
Due Date
Registration No.
Period Begin
Period End
OUT OF BUSINESS?
2.
Date closed:
3.
OWNERSHIP OR NAME CHANGE?
Date
Explanation
4.
SOLD? Date
Do Not Use Red Ink!
ADDRESS CHANGE? Make corrections above and check here
Diesel
Biodiesel
Propane
Gallons of fuel Consumed
on Maine Highways during
,
,
,
1. a
c
b
the above period
Number of gallons on
which Maine Excise Tax
,
,
,
c
2. a
b
has been paid
Gallons subject to Maine’s
Excise Tax
,
,
,
3. a
b
c
(Line 1 minus Line 2)
B100 .287
4.
.312
.219
Tax Rate
B20
.312
Tax due this period
.
.
.
5. a
,
,
,
b
c
(Line 3 times Line 4)
.
,
Total Tax Due
6.
(Total of Line 5 A + B + C)
Please Mail To: Maine Revenue Service, P.O. Box 1065, Augusta, ME 04332-1065
Phone #
Date
Signature/Title
Print Name
SFU-1 Revised 7/11
For assistance in completing this form, call (207) 624-9609