Motor Fuels Forms
There are some forms available in a “fill-in” format, meaning you can view, complete, and print the form from your computer.
- There is no computation, validation, or verification of the information you enter.
- You are responsible for entering all required information.
- Instructions may require some information to be handwritten on the printed form (for example, signatures).
- You must fill in the form and print it out in one session.
- You should print 2 copies in order to file one with the Department and keep the other for your records.
Nebraska Motor Fuels License Application (8/2020)
Motor Fuels Application for Abatement of Penalty (8/2020)
Nebraska Motor Fuels Tax Bond (7/2020)
Nebraska Motor Fuels Tax Bond Rider (7/2020)
Nebraska Non-Ag Use Motor Fuels Tax Refund Claim (08/2017)
Refund Rate Table (06/19/2020)
Nebraska Ag Use Motor Fuels Tax Refund Claim (08/2017)
Nebraska Extension of Statute of Limitations Agreement for Motor Fuels Programs (08/2020)
Tax Exempt Certificate for Purchase of Undyed Diesel Fuel (08/2020)
Nebraska Retailer's Claim for Exempt Sales of Motor Fuels (08/2020)
Effective January 1, 2002, paper returns were eliminated and EDI (electronic data interchange) became the only filing method available. On January 1, 2005, the Form 73 was modified to include reporting of environmental fees (PRF), aircraft fuel tax liabilities, and compressed fuels thereby eliminating the Forms 82 - Petroleum Release Remedial Action Fee Return and the Form 85 - Nebraska Aircraft Fuels Tax Return. Also on January 1, 2005, a new EDI return was introduced exclusively for ethanol and biodiesel producers, the Form 83 - Nebraska Ethanol and Biodiesel Producer's Return and supporting schedules.
We do maintain the ability for certain returns to be filed "online." This is limited to the Forms 74 and 86. A registration process is required to obtain permission to file these "online" forms.
The following "sample" returns and schedules are provided to illustrate how the various liabilities are computed. Only EDI returns may be submitted.
Nebraska Monthly Fuels Tax Return (03/2014)
Nebraska Multiple Schedule of Receipts (04/2012)
Nebraska Multiple Schedule of Disbursements (04/2012)
Nebraska Ethanol & Biodiesel Producer's Return (03/2014)
Nebraska Producer's Schedule of Receipts (04/2012)
Nebraska Producer's Schedule of Disbursements (04/2012)
Nebraska Motor Fuels Terminal Operator Report (06/2005)
Nebraska Motor Fuels Terminal Operator Schedule of Receipts (04/2007)
Nebraska Motor Fuels Terminal Operator Schedule of Disbursements (04/2007)