Ministry of Revenue
33 King Street West
PO Box 620
Oshawa ON L1H 8E9
Enquiries: • Toll Free 1 866 ONT-TAXS (1 866 668-8297)
• 1 800 263 7776 Teletypewriter (TTY)
• 905 433-5680 (Fax)
• Website: ontario.ca/revenue
Clear Form
Amended Return
Fuel and Gasoline Manufacturer Return
Gasoline Tax Act and Fuel Tax Act
No Activity
Legal Name
M3 - Cubic Metres
Reporting Period:
From
Business Number
month
DESCRIPTION
1
AVIATION
GASOLINE M3 GASOLINE
M3
AVIATION KEROSENE
TYPE M3
AVIATION NAPHTHA
TYPE M3
DENATURED
FUEL
ETHANOL M3
ETHANOL
BLENDED
GAS M3
LIQUID
PETROLEUM
GAS M3
ETHANOL
BLENDED
GAS M3
LPG
LIQUID DENATURED
PETROLEUM
FUEL
GAS M3
ETHANOL M3
HEATING
OIL M3
DIESEL FUEL M3
day
To
year
KEROSENE M3
month
day
year
OTHER NONFUEL
TAXABLE FUEL HEAVY
OIL M3
PRODUCTS M3
Refinery production
+/- Product Exemptions (Description)
2
3
4
5
6
7
8
9
10
11
+/- Other Adjustments (Description)
12
13
14
15
16
17
18
19
20
21
PRODUCT EXEMPTIONS
22 TOTAL
AND OTHER ADJUSTMENTS
ADJUSTED REFINERY
23
PRODUCTION
AND GAS TAX RETURN LINE 2
24 FUEL
- REFINED OR MANUFACTURED
WITHIN JURISDICTION
PRODUCTS FOR FUEL TAX
REPORTING
GASOLINE M3
AVIATION GASOLINE M3
DIESEL M3
DYED DIESEL
M3
MARINE
DIESEL M3
LOCOMOTIVE
FUEL M3
HEATING OIL
M3
KEROSENE
M3
OTHER NON- BUNKER FUEL
DYED
KEROSENE M3 TAXABLE FUEL3
M3
PRODUCTS M
Certification: Please ensure that an authorized person signs the return. It is an offence to make a false statement in a return. I certify that the information in this return is, to the best of my knowledge, true, correct and complete.
Telephone No.
Signature
Name (print)
Title
2448E (2011/06)
Print Form
Date
day
month
year
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