Ethanol Producer Report Form - South Dakota
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1
2Name:
License Number:
Address:
Return Period:
Return Due Date:
Ethanol Producer Report
Check here if this an amended report
Remittance Center
Mail
PO BOX 5055
Report to:
Check if final report and license is to be cancelled
Sioux Falls, SD 57117-5055
Report in Whole Gross Gallons Only
DENATURED FUEL-GRADE ALCOHOL INVENTORY & SALES
1
1
Total gallons of fuel-grade alcohol in producer’s inventory at beginning of reporting period
2
2
Total gallons of fuel-grade alcohol produced or upgraded during reporting period
3
3
Subtotal gallons of fuel-grade alcohol – Add Lines 1 and 2
4
Total gallons of fuel-grade alcohol sold to licensed purchasers during reporting period – Attach Uniform
4
Schedule of Disbursements – Type 6a, 6b, 6c or 6d
5
Total gallons of fuel-grade alcohol sold to unlicensed purchasers during reporting period – Attach Uniform
5
Schedule of Disbursements – Type 5
6
6
Total gallons of fuel-grade alcohol sold during reporting period – Add Lines 4 and 5
7
7
Total gallons of fuel-grade alcohol remaining in inventory at end of reporting period – Subtract Line 6 from Line 3
TAXES AND FEES DUE
8
8
Total gallons of fuel-grade alcohol sold to unlicensed purchasers during reporting period – Record Amount from Line 5 here
9
9
$
Fuel Tax Due – Multiply Line 8 by $0.22
10
10
$
Tank Inspection Fee – Multiply Line 8 by $0.02
11
11
$
Interest and/or Penalty
12
12
$
Balance Due or Credit from prior records (See Computer Notice)
13
13
$
Total Taxes and Fees – Add Lines 9, 10, and 11 and add or subtract Line 12 (Depending on balance due or credit)
PRODUCTION PAYMENT CALCULATION
14
14
Total gallons fuel-grade alcohol sold and blended during reporting period – Record amount from Line 6 here
15
15
Total gallons fuel-grade alcohol produced out-of-state
16
16
Net gallons eligible for production payment – Subtract Line 15 from Line 14
17
17
$0.20
Production Payment Rate
18
18
$
Production payment allowance for this reporting period – Multiply Line 16 by Rate on Line 17
19
19
Total gallons of natural gasoline used for denaturing alcohol – Determine this from your records
20
20
Total gallons of gasoline used for denaturing alcohol – Determine this from your records
21
21
$
Net Credit Due for gallons of gasoline used as a denaturant – Multiply Line 20 by $0.22 tax rate
22
22
$
Total gallons of gasoline used for denaturing alcohol multiplied by $0.02 tank inspection fee
23
23
$
Total credit for this reporting period – Add Lines 18, 21 and 22
24
24
$
Total taxes and fees for this reporting period – Record amount from Line 13 here
DOR/DMV FORM 592 (4/97)
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