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Fuels Tax Downloadable Forms

Please note that paper tax returns are no longer accepted. All returns must be submitted electronically using one of the three available file transmission methods. See Electronic Filing for more information.

All forms are in pdf format and require Adobe Acrobat Reader to view and print.

PDF forms can be used in two ways. You may either:
  • print the form and then write in your information, or
  • you may type your information into the fields provided on the form and then print. Each form contains fields for you to type in your information and then print the form. After selecting the form, click in an appropriate field to make an entry. You may use your tab key to advance to the next available field.

Number

Form Name

DMV 132Virginia Fuels Tax Guidelines
FT 213Virginia Fuels Tax Application
FT 214Virginia Fuels Tax Notice of Tax Payment Default
FT 218Tax and Tank Fee Assessment
FT 219Schedule of Diversion Corrections
FT 220Interstate Fuel Diversion Fax Notification Application
FT 441Fuel Alcohol Provider's Report
FT 442Fuel Alcohol Provider's Schedule of Disbursements
FT 443Fuel Alcohol Provider's Schedule of Receipts
FT 445Alternative Fuel Report
FT 446Alternative Fuel Schedule of Disbursements
FT 447Alternative Fuel Schedule of Receipts
FT 448Distributor's Report
FT 449Distributor's Schedule of Disbursements
FT 450Distributor's Schedule of Receipts
FT 451Supplier's Report
FT 455Supplier's Schedule of Disbursements
FT 456Supplier's Schedule of Tax-Paid Receipts(1)
FT 457Terminal Report
FT 458Terminal Operator's Schedule of Disbursements(4A)
FT 459Assignment of Securities in Lieu of Surety Bond
FT 460Terminal Operator's Schedule of Receipts(2A)
FT 461Motor Fuel Transporter's Report
FT 462Fuels Tax Bond
FT 463Motor Fuel Transporter's Schedule of Deliveries
FT 464Alternative Fuel License Certificate Application
FT 465Aviation Consumer's Report
FT 466Aviation Consumer's Schedule of Disbursements
FT 467Aviation Consumer's Schedule of Receipts
FT 468Importer's Report
FT 469Importer's Schedule of Disbursements
FT 470Importer's Schedule of Receipts
FT 471Blender's Report Form
FT 472Blender's Schedule of Receipts(2B)
FT 474Fuels Tax Payment Form
FT 486Schedule of Defaulted Tax Payments Receipts
FT 510Fuels Tax Electronic/Internet Filing Application
TS 216Fuels Tax Refund, Application for
TS 217Fuels Tax Refund for Fuel Used in Boats or Watercraft, Application for
TS 218Itemized Statement of Bulk Storage Fuel Used
TS 221Taxi Fuels Tax Refund Application
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