N.H. Admin. Code § Saf-C 311.30

Current through Register No. 50, December 12, 2024
Section Saf-C 311.30 - Form RT 126, Road Toll Refund Application - Farm Use
(a) An applicant shall submit the following on form RT 126:
(1) Applicant's name, address and telephone number;
(2) Federal employer identification number, if applicable;
(3) Period covered;
(4) Total gallons per invoice;
(5) Total gallons consumed on public ways;
(6) Total gallons consumed off public ways;
(7) Dollar amount of refund;
(8) Type of farming, such as:
a. Dairy;
b. Poultry;
c. Custom;
d. Orchard;
e. Truck; or
f. General;
(9) City or town and state;
(10) Type, year and make of equipment;
(11) Registration number;
(12) Itemized gallons used on highway;
(13) Itemized gallons used off highway;
(14) Total gallons used on highway;
(15) Total gallons used off highway;
(16) Grand total of gallons used on and off highway; and
(17) Stock record, including:
a. Actual inventory of gasoline or diesel fuel;
b. Total gallons of gasoline or diesel fuel per invoice;
c. Total gallons of gasoline or diesel fuel to be accounted for;
d. Total gallons sold of gasoline or diesel fuel;
e. Book inventory of gasoline or diesel fuel on the last day of the period;
f. Actual inventory of gasoline or diesel fuel on the last day of the period;
g. Stock loss or gain of gasoline or diesel fuel; and
h. Total gallons of gasoline or diesel fuel accounted for.
(b) The applicant shall sign the form.

N.H. Admin. Code § Saf-C 311.30

(See Revision Notes #1 and #2 at chapter heading for Saf-C 300) #10032, eff 11-22-11

Renumbered From Saf-C 311.28 Volume XXXV Number 1, Filed January 8, 2015, Proposed by #10753, Effective 1/1/2015.