Section 12 Part C - Vehicle Operating Expenses - Other Vehicle Operating Expenses

Section 12, Part C deals with other vehicle operating expenses, including a monthly average expenditure on gasoline, purchases of oil and other fluids, parking fees, towing charges, docking or landing fees, and expenses for auto repair service policies and clubs.

Since the first of reference month not including this month --
what has been your your/your household’s AVERAGE MONTHLY expense for gasoline and other fuels for all vehicles? [enter value] _____________

For definitions Information Booklet »

Was any of this expense for diesel fuel?

How much? [enter value] _____________

What percentage of the AVERAGE MONTHLY COST was counted as a business expense? [enter value] _____________

Since the first of the reference month not including this month --
have you or any member of your household purchased any oil for operating vehicles?

What was the total cost? [enter value] _____________

Since the first of the reference month not including this month --
have you or any member of your household purchased any antifreeze, brake fluid, transmission fluid, windshield wiper fluid, or additives, except if purchased with a tune-up?

What was the total cost of these purchases? [enter value] _____________

Since the first of the reference month not including this month --
Had any expenses for parking, such as parking garages, parking lot fees, or parking meters? Do not include expenses that are part of your property ownership or rental costs, a business expense or expenses that will be totally reimbursed.

How much was paid, not including any payments made this month? [enter value] _____________

Since the first of the reference month not including this month, have you or any member of your household had any expenses for -

Local tolls or electronic toll passes?

How much was paid, not including any payments made this month? [enter value] _____________

Since the first of the reference month not including this month, have you or any member of your household had expenses for -

Docking and landing fees for boats and planes?

How much was paid, not including any payments made this month? [enter value] _____________

Since the first of the reference month not including this month, have you or any member of your household had any expenses for --
Auto repair service policies such as extended warranties? Do not include service policies for vehicles used entirely for business.

How much? [enter value] _____________

Since the first of the reference month not including this month, have you or any member of your household had any expenses for --
Automobile service clubs such as AAA or services such as OnStar or LoJack?

How much? [enter value] _____________

Since the first of the reference month not including this month, have you or any member of your household had any expenses for -

Towing charges, not already reported?

How much was paid, not including any payments made this month? [enter value] _____________

Since the first of the reference month not including this month, have you or any member of your household had any expenses for -

Bottled or tank gas for recreational vehicles, including vans, campers, and boats?

How much? [enter value] _____________

End of Section 12C

Go to Section 13 - Insurance Other Than Health »

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Last Modified Date: April 12, 2013