The Indiana Department of Revenue Form MF-627, titled Cancellation of Fuel License, is the designated administrative document used by businesses to formally terminate their registration for specific fuel-related activities within the state. This form is essential for companies that are ceasing operations, changing their business structure, or no longer engaging in activities that require specific fuel licensure, such as distributing gasoline, blending special fuels, or dealing in aviation fuel. By submitting this document, a taxpayer officially notifies the state to close their tax accounts for the selected categories, which effectively stops the requirement for filing future monthly or quarterly returns for those specific licenses. It covers a wide range of permits, including those for transporters, terminal operators, and exporters. The form also serves as a compliance check, ensuring that the business has taken the necessary steps to cancel any associated financial bonds with their surety company before finalizing the license cancellation with the state.
How To File The Form
Once you have completed and signed the MF-627 form, you have multiple options for submission to the Indiana Department of Revenue. You can mail the physical document to the Fuel Tax section at P.O. Box 6080, Indianapolis, IN 46206. Alternatively, for a potentially faster processing time, you may scan and email the completed form to [email protected]. If you have questions regarding the submission process, the department provides a direct telephone line at 317-615-2630. Ensure that you have notified your bond or surety company prior to filing this form, as this is a prerequisite affirmed within the document.
How To Complete The MF-627 Form
Applicant Information
Legal Name And DBA Name
Enter the full legal name of the business entity requesting the cancellation. If the business operates under a trade name or “Doing Business As” name, enter that in the designated DBA field.
Identification Numbers
Provide your Federal Employer Identification Number (FEIN). You must also include your specific License Number or Tax Identification Number (TID) associated with the fuel accounts you are cancelling.
Contact Information
Fill in the complete street address, city, state, and ZIP Code where the business is located. Additionally, provide a current telephone number and email address where the department can reach you if there are questions regarding the cancellation request.
License Cancellation Selection
This section consists of a list of license types. You must locate the specific license or permit you wish to cancel and provide the required details for that row.
Check Box
Place a checkmark in the box corresponding to each specific license type you are cancelling. You may select multiple boxes if you are terminating multiple authorities simultaneously.
License / Permit Type
Review the list to ensure you are selecting the correct category. The available options include:
- Aviation Fuel Dealer / Exemption Permit
- Aviation Fuel Excise Tax
- Dyed Fuel User
- Gasoline Distributor
- Gasoline Transporter
- Gasoline Use Tax
- Marina Fuel Dealer / Exemption Permit
- Oil Inspection Fee Distributor
- Petroleum Severance Reporter
- Propane Dealer
- Special Fuel Blender
- Special Fuel Eligible Purchaser
- Special Fuel Exporter
- Special Fuel Importer
- Special Fuel Permissive Supplier
- Special Fuel Supplier
- Special Fuel Terminal Operator
- Special Fuel Transporter
Effective Date Of Cancellation
For every license type you checked, you must enter a specific date in the column to the right. This date indicates exactly when the cancellation should take effect and when your tax liability for that license type ends.
Bond Notification And Certification
Bond Cancellation Affirmation
Locate the statement regarding surety bonds. You must check the box next to the statement that reads, “I have notified the bond/surety company that any associated bonds should be cancelled.” This affirms that you have handled the financial security aspect of your license before informing the state.
Signature
The authorized representative of the business must sign their name in the designated space.
Printed Name
Print the name of the person who signed the form to ensure legibility.
Date
Enter the date on which the form was signed and finalized.