Form 637 and Questionnaires

Form 637 - Application for Registration (For Certain Excise Tax Activities) and Questionnaires; and IRS Notice 2023-06

Form 637 K Questionnaire OMB_Rev_Feb_2022

Form 637 and Questionnaires

OMB: 1545-1835

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Name:


EIN:


Address:


637 Reg No.:


City, State, Zip:


OMB No.:

1545-1835



In addition to the Form 637 General Questionnaire, please answer the following questions specific to this activity. (Attach additional sheets, if needed.)



Shape1

Activity Letter K: Buyer of kerosene for a feedstock purpose.

See Treas. Reg. 48.4082-7.

Registration allows buyer to purchase kerosene tax-free for use as a feedstock. 

"K" QUESTIONNAIRE

  1. Does your business qualify for the Form 637 “K” Registration?

Yes No

    • If yes, please complete questions below and return this form.

    • If no, please sign the statement below, date, and return this form.



I request my Form 637 “K” Registration be denied or revoked as I am no longer engaged in this activity.



____________________________________ __________________

Printed Name Title



____________________________________ __________________

Signature Date

Note: This request must be signed by a person with authority to bind the applicant or registrant. Refer to Form 637, Application for Registration (For Certain Excise Tax Activities), General Instructions, under the Signature section for additional guidance.


  1. List all products containing kerosene that your business manufactures.













  2. Is kerosene used in any other manner beside the manufacture of these products? Yes No

If yes, describe the use.







  1. List all locations and storage facilities where kerosene is stored. List the expected volume (in gallons) of kerosene to be used by each facility.

    Name and Address of Facility

    Capacity of Tank(s)

    Expected Annual Volume (gallons)




























  2. List name and address of all current and anticipated suppliers of kerosene.













  3. List approximate annual quantity of kerosene purchased.







  4. Does your business own fuel transports? Yes No

If yes, list Vehicle Identification Number (VIN), Gross Vehicle Weight (GVW), fuel transported and capacity of each.

VIN

GVW

Fuel Transported

Capacity

















  1. List the name and phone number of a person whom we can contact about this application/registration.















Form 637 K Questionnaire 2 Revised Feb 2022

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJackson John M
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File Created2023-07-29

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