An applicant shall submit the following
on form RT 130:
(1) Applicant's name,
address, and telephone number;
Federal employer identification number;
(3) State of New Hampshire Vendor number and
remit to, if applicable;
period of the claim;
gallons from enclosed schedules for gasoline and special fuel;
(6) Dollar amounts of refund request for
gasoline and special fuel; and
Grand total of dollar amount of refund request.
(b) The applicant shall print his/her name,
title, date, and sign the form.
The preparer, if other than the applicant, shall print his/her name, title,
telephone, and email address.
N.H. Code Admin. R. Saf-C 311.34
(See Revision Notes #1 and #2 at chapter heading for
Saf-C 300) #10032, eff 11-22-11
XXXV Number 32, Filed August 13, 2015, Proposed by #10890,
amended version of this section by
Hampshire Register Volume 37, Number 02, eff.
1/1/2017 is not yet