Form 637 Questionnaires

Applicant/Registrant Name:		EIN:	Period(s)
Agent Name:	Badge Number:			Date:
Form 637 Activity Letter “AB” Questionnaire

Activity Letter “AB” – Producers and importers of agri-biodiesel.

REGISTRATION TESTS – ACTIVITY “AB”

1. The applicant must meet the activity test under §48.4101-1(f)(2).

2. The applicant must have a satisfactory filing, deposit, payment, reporting, and claim history for all federal taxes of the applicant and any related person (as defined in §48.4101-1(b)(5)).

ACTIVITY TEST

1. List the name and address of all the entity’s supplier(s) of agri-biodiesel and the gallons purchased annually from each.

Supplier(s) of Agri-biodiesel	Supplier’s Address	Gallons Purchased

2. Is the agri-biodiesel produced or imported by the applicant a pure fuel or is it blended with petroleum diesel? If blended, list the percentage of blend.

3. List all production agreements with agri-biodiesel marketing firms that the entity plans on implementing within the year.

4. Will the entity be selling agri-biodiesel as a distributor?

5. What are the entity’s procedures for securing exemption certificates from customers who purchase without the federal excise tax?

6. Is the entity or the entity’s customers reimbursed for the federal excise tax on agri-biodiesel fuel for any credit card sales? If so, explain.

Satisfactory Tax History

1. Have all filings, deposits, and payments for all taxes of the entity and all related persons been made timely? If no, explain.

	Form 637 Activity Letter “AB” Questionnaire
	Workpaper # -1.0
	Rev. 3/2008