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4923 - Non-Highway Use Motor

4923 - Non-Highway Use Motor

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Sep 30, 2021 · Clear Diesel/Clear Kerosene. Purchaser. r . Aviation Gasoline (see Instructions) Address of Seller (street, city, state, zip) Form 4923 (Revised 12-2021) Totals (for this page only) A separate worksheet must be completed for each fuel type by usage and must accompany Form 4923 - Non-Highway . Use Motor Fuel Refund Claim.

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