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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 the reference month, what has been your household's AVERAGE MONTHLY expense for gasoline and other fuels (including gasohol) for any vehicles? [enter value] _____________
Was any of this expense for the purchase of 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, have you or any member of your household purchased any oil for operating vehicles?
What was the total cost? [enter value] _____________
Was any of this purchased this month?
How much was spent this month? [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, 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, have you or any member of your household had expenses for -
Parking, such as parking meters, garage rental or parking lot fees? 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, have you or any member of your household had expenses for -
Local tolls or electronic toll passes?
* Do not include tolls incurred on a trip.
How much was paid, not including any payments made this month? [enter value] _____________
Since the first of the reference 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 the current 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 the current month, have you or any member of your household had any expenses for automobile service clubs, such as AAA?
How much? [enter value] _____________
Since the first of the reference month, have you or any member of your household had 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 the current 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 5, 2010