Form 72a233 - Report Of Dyed Diesel Sold For Exclusive Use By Railroad Companies For Nonhighway Purposes - Commonwealth Of Kentucky Revenue Cabinet
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172A233 (7-00)
REPORT OF DYED DIESEL SOLD FOR EXCLUSIVE USE
Commonwealth of Kentucky
REVENUE CABINET
BY RAILROAD COMPANIES FOR NONHIGHWAY PURPOSES
INSTRUCTIONS: This report must be filed by dealers claiming a
deduction for dyed diesel sold to railroad companies for nonhighway
For Month of ______________________ , 20_____
Dealer License Number ______________________________________
purposes. All information on this report must be completed.
Purchaser’s Kentucky
Invoice
Invoice
Quantity Sold
Motor Fuels Tax
Purchaser’s Name
Street Address
City
ZIP Code
Number
Date
(Gallons)
Refund Permit Number
(Attach continuation sheets if needed.)
TOTAL (to line 9, Form 72A200)
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