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Get and Sign Dmvnv Com Mc45 2009 Form
(Name/Telephone Number)
Account Number(s) and Jurisdiction(s) Issued:
Registration / IRP
Special Fuel / IFTA
Supplier / Dealer
Non-Nevada based carriers must submit copies of their registrations with Nevada
Authority or copies of Nevada trip permits covering the time period of the refund request.
Total NV taxable gallons reported on your IFTA Return (If applicable)
Return Period(s) (must correspond with refund period)
Indicate type of fuel claimed for a refund (use a separate claim form...
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