Fuel Tax Refund Application for Retail Dealers
CA-21.LM-V
If the amount equal to the tax you paid when you purchased fuel is greater than the fuel tax you collected when you sold the fuel at retail, you can complete this form to apply for a partial refund of the amount you paid. You can also complete it to apply for a refund if you purchased gasoline in the jurisdiction of the Autorité régionale de transport métropolitain (ARTM) or the Gaspésie–îles-de-la-Madeleine administrative region (RAGIM) and sold it outside of these jurisdictions.
2018-02 version
Follow the instructions below before clicking the Fillable PDF Document button at the bottom of the page.
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If you have already opened the fillable form, close it without saving it.
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Download Adobe Reader. If the software is already installed on your computer, go directly to step 4.
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After downloading and installing Adobe Reader, close it.
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Place your cursor on the Fillable PDF Document button at the bottom of the page and right click to display a menu.
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Select Save link as.
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Save the document to your desktop or the folder of your choice. Do not open the document in the download screen that appears.
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Once the document is saved, right click on it to display a menu.
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Click Open with and select Adobe Reader.
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Complete and save the PDF.