Form Dst-210 - Schedule 1 - Occasional Importer Schedule Of Receipts

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105-20
State of Oklahoma
DST - 210
Schedule 1
Oklahoma Tax Commission
(10/98)
Occasional 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)
142
Undyed Kerosene
72
Dyed Kerosene
1C Gallons Received Tax Paid on Voucher
160
Undyed Diesel Fuel
122
Blending Material
3A Gallons Imported Tax Free or by Tankwagon From _______
228
Dyed Diesel Fuel
125
Aviation Gasoline
4
1
2
3
5
6
7
8
9
12
13
Point of
Carrier
Mode
Terminal
Supplier
Supplier
Document
Billed
Import
Carrier
Date
Name
Code
Origin
Code
Name
FEIN
Number
Gallons
Verification Number
FEIN
Dest
Shipped

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