Form TRO-K
REQUEST FOR A REFUND OF EXCISE DUTY PURSUANT TO ARTICLE 54. Č
OF THE EXCISE DUTY ACT FOR GAS OIL USED AS PROPELLANT FOR COMMERCIAL PURPOSES
Stamp upon receipt
(to be completed by the Customs Authority)
information of the claimant:
Title/Name:
District /road and house number:
Postal number, town and country:
VAT number:
INFORMATION OF THE AGENT:
INFORMATION OF THE ACCOUNT:
Title/Name
Account holder:
VAT number
SWIFT/BIC code
District /road and house number
Account number (IBAN)
Postal number, town and country
Bank name and country
1
The refund of the excise duty is
claimed for :
claimant
agent
month:
year:
quarter:
year:
year:
goods
The gas oil was used for the transport of:
passengers
QUANTITY OF FUEL USED FOR WHICH THE REFUND IS BEING REQUESTED (in litres):
2
3
1
January
February
March
2
April
May
June
3
July
August
September
4
October
November
December
NUMBER OF INVOICES FOR THE PURCHASE OF FUEL ON THE BASIS OF WHICH THE REFUND IS
CLAIMED *
REGISTRATION NUMBERS OF VEHICLES
Registration number
4
/
NUMBER OF MOTOR VEHICLES:
Quantity of gas oil
used (in litres)
Registration number
1
11
2
12
3
13
4
14
5
15
6
16
7
17
8
18
9
19
10
20
Quantity of gas oil
used (in litres)
We hereby undertake to return any undue amount received.
Place and date:_____________ Name, last name and signature of authorised person of the claimant: ______________
By signing I am certifying that the above information is true
*Invoices for fuel used which read on the claimant need to be enclosed to the request.
FOR OFFICIAL USE
Number
Date
Customs office
Pursuant to Article 54. č of the Excise Duty Act the (Official Journal of the Republic of Slovenia No 97/10, 48/12 and 109/12)
Applicant is for the period of ______________ entitled to a refund of the excise duty for ________________ litres of fuel in the
amount of ___________________ EUR.
In accordance with point 4 of Article 28 of the Administrative Fees Act (Official Journal of the Republic of Slovenia No 106/10)
this Request is exempt from the payment of an administrative fee.
Signature of the official:_________________________
Instructions for completing Form TRO-K
Title/Name
Enter the title of the legal entity or the name of sole trader.
Tax number
Enter tax number.
District/Road and house number
Enter full address.
Postal number, place and country
Enter postal code, place and country.
Current account number (IBAN)
Enter current account number for refund of excise duty in IBAN form.
SWIFT/BIC code
Enter SWIFT or BIC bank code.
Bank name and country
Enter bank name and bank country.
Account holder
Mark if account holder is claimant or agent on the basis of authorization.
The refund of the excise duty is claimed for
Mark and enter (month, year) or circle (quarter) the calendar period for which
the request is submitted.
The gas oil was used for the transport of
Mark the purpose of use of gas oil.
3
Quantity of fuel used (in litres)
For single month, regarding marked calendar period, enter the quantity of fuel
used that can be proven with receipts for which the refund is being claimed.
Enter the quantity of fuel used for single month in case of request for
calendar quarter or calendar year as well.
4
Number of invoices
Enter the total number of invoices for the purchase of fuel in Slovenia on the
basis of which the refund is claimed.
1
2