Form 587 - Distributor S Schedule Of Disbursements - 2016
Download a blank fillable Form 587 - Distributor S Schedule Of Disbursements - 2016 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 587 - Distributor S Schedule Of Disbursements - 2016 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Reset Form
Print Form
Document Locator Number
Form
Missouri Department of Revenue
587
Distributor’s Schedule of Disbursements
Page ____ of ____
Distributor’s Name
License Number
Federal Employers Identification Number (FEIN)
Schedule Type
Month and Year
__ __ /__ __ __ __
5.
Gallons of dyed fuel sold for taxable purposes
r
r
065 - Gasoline
228 - Dyed Diesel Fuel
5W. Gallons of tax-exempt product blended tax and fees unpaid
r
r
123 - Alcohol
284 - Bio-Diesel – Undyed B100
7A. Gallons exported to state of ___________________ (destination state tax paid) (Original and 1 copy)
r
241 - Ethanol
r
7B. Gallons exported to state of ___________________ (Missouri tax paid) (Original and 1 copy)
285 - Soy Oil
r
10A. Gallons of tax-exempt product blended fees unpaid
124 - Gasohol
r
290 - Bio-Diesel – Dyed B100
r
10G. Gallons of other authorized tax-exempt sales (alcohol, Bio-Diesel – Undyed B100)
125 - Aviation Gasoline
r
224 - Compressed Natural Gas (CNG)
10J. Gallons of undyed kerosene delivered to filling stations (barricaded pumps only)
r
142 - Clear Kerosene
r
225 - Liquefied Natural Gas (LNG)
10K. Gallons delivered to airlines (Not applicable to CNG anf LNG)
r
130 - Jet Fuel
r
122 - Blending Components
10R. Gallons delivered for use as bunker fuel in vessels (Not applicable to CNG anf LNG)
r
072 - Dyed Kerosene
(Identify) _________________
10U. Gallons fees exempt (CNG and LNG only)
r
160 - Clear Diesel Fuel
10Y. Gallons delivered to railroads (Not applicable to CNG anf LNG)
Point of
Date
Document
Gross
Invoiced
Name of Carrier
Mode
Sold To
Carrier’s FEIN
Purchaser’s FEIN
Net Gallons
Shipped
Number
Gallons
Gallons
Origin
Dest.
Page Total
Mail to: Taxation Division
Phone: (573) 751-2611
Visit
Schedule Total
P.O. Box 300
Fax: (573) 522-1720
Jefferson City, MO 65105-0300
TTY: (800) 735-2966
for additional information.
Form 587 (Revised 01-2016)
E-mail:
excise@dor.mo.gov
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial