Form Dst-214 - Schedule 1 - Bonded Importer Schedule Of Receipts
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1
2105-28
DST - 214
State of Oklahoma
Schedule 1
Oklahoma Tax Commi s si o n
(10/98)
Bonded Importer Schedule of Receipts
Importer Name
FEIN
Month/Year
S
T
P
T
CHEDULE
YPE (Check One)
RODUCT
YPE (Check One)
1A
Gallons Received Tax Paid (Terminal in Oklahoma)
130
Jet Fuel
65
Gasoline
1B
Gallons Received Tax Paid (Terminal out of Oklahoma)
72
Dyed Kerosene
142
Undyed Kerosene
3A
Gallons Imported Tax Free or by Tankwagon from ______
122
Blending Material
160
Undyed Diesel Fuel
125
Aviation Gasoline
228
Dyed Diesel Fuel
4
1
2
3
5
6
7
8
9
12
13
Point of
Carrier
Mode
Terminal
Supplier
Supplier
Date
Document
Billed
Import
Carrier
Name
Code
Origin
Dest
Code
Name
FEIN
Shipped
Number
Gallons
Verification Number
FEIN
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