GAS-1241 Motor Fuel Claim for Refund Licensed Distributor/Importer Hold Harmless (for November 2017 and prior)

Use for November 2017 and prior

An Excise Tax hold harmless refund return which may be filed by licensed distributors and importers who purchase gasoline (including gasohol, alcohol, ethanol, and methanol), diesel (including biodiesel), kerosene, jet fuel, or aviation gasoline from a North Carolina licensed supplier Tax-Paid Receipts schedule to be filed with GAS-1241 Importer Return