Form Bd-200 - Special Fuel Exemption Application For Biodiesel Personal Production

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BD-200
Indiana Department of Revenue
(R/06-07)
Special Fuel Exemption Application
for Biodiesel Personal Production
Issued To
TID or SSN
Physical Address(no P.O. Box)
Mailing Address
City
State
ZIP
Effective July 1, 2007, individual taxpayers who produce the biodiesel content of special fuel may qualify for the special fuel tax
exemption certifi cate for biodiesel personal production.
An individual taxpayer qualifi es for the exemption if the:
•
individual produces the biodiesel content of the special fuel;
•
special fuel contains at least 20 percent biodiesel;
•
special fuel is only used for personal, noncommercial use and is not for resale.
If the above requirements are met the individual must:
•
Register with the Department using this form;
•
Provide an exemption certifi cate, valid for 5 years, before using the special fuel;
•
File a report for the previous year by Jan. 20, of each year.
The maximum number of gallons of special fuel an individual may claim under this exemption is 2,000 divided by the average per-
centage volume of biodiesel in each gallon used.
Signed
Date
Mail to: P.O. Box 6080
Indianapolis, IN 46206-6080
Phone: (317) 615-2630

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