Form 637 Questionnaires

Name:	EIN:
Address:	Registration No:
City, State, Zip

“Y” QUESTIONNAIRE (Revision 02-01-2006)

Buyer of kerosene for its use in commerical aviation (other than foreign trade).

Review Form 637, "Application for Registration" for any updates or changes. This includes Part I, II, and III. Attach the updates or changes to questionnaire. Notate if no updates or changes have been made since last visitation.

1. Who is responsible for the preparation and filing of Form 720, 8849 or Form 4136? From what address are they filed? _______________________________________________________________________________________________________________________________________________________________________________________________________________

2. Does the company, related company, or any of its owners incur any liability for excise tax? If so, name the type of tax. __________________________________________________________________________________________________________________________________________

3. Does the company sell or plan to sell any aviation fuel to a related company? If so, describe the arrangements.

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4. Has the company's excise, employment, or income tax returns been examined by the State or IRS during the previous five years? If so, what were the results of the examination?

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5. List the name and address of all the company's suppliers of aviation fuel.

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6. Does the company resell aviation fuel? If so, to whom?

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7. Does the company store any aviation fuel to which it does not hold title? If so, where is this inventory stored? For who is it stored? Are separate inventory records maintained?

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7. List all locations and storage facilities where aviation fuel is stored. List the expected annual volume (in gallons) of aviation fuel used at these facilities. Attach additional sheets if needed. (CEP and major oil companies may be exempted from this question.)

Name of Facility	Address of Facility	Capacity of Aviation Fuel Tank(s)	Expected Annual Volume

Indicate with an (*) any facility where aviation fuel purchased at reduced rate is resold.

9. Are you registered or required to be registered by state or local authorities for the petroleum business? If so, list the licensing agencies and numbers and dates granted.

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9. Is the company involved in any commercial aviation in which federal excise tax on air transportation is not charged? If so, explain.

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9. Furnish the following information for each aircraft: Attach additional sheets if necessary.

Make & Type	Tail Number	Takeoff Weight	Own/ Operate	Avg Hrs Per Month	Commercial Aviation Avg Hrs/Month

9. If you do not own the aircraft or provide the pilot for any flight(s) of the above aircraft, explain the operating arrangements.

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9. Does the company provide air transportation of persons, property, or both?

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9. Does the company provide international air transportation of persons, property, or both?

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9. Describe any fueling agreements with other carriers.

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9. Does the company claim credits or refunds for aviation fuel? Explain

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