Form 72a132 - Special Fuels Schedule Of Sales Qualifying For Residential Heating Tax Credit
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172A132 (10-06)
SPECIAL FUELS SCHEDULE OF SALES
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
QUALIFYING FOR RESIDENTIAL HEATING TAX CREDIT
INSTRUCTIONS: This report must be filed by dealers claiming a
credit for special fuels sold to customers who issued to the dealer a
For Month of ______________________ , 20_____
Dealer License Number ______________________________________
Certification of Motor Fuels Nonhighway Use, Form 72A110.
Purchaser’s
Invoice
Invoice
Quantity Sold
Purchaser’s Name
Street Address
City
ZIP Code
Social Security Number
Number
Date
(Gallons)
(Attach continuation sheets if needed.)
TOTAL (to line 17b, Form 72A138)
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Parent category: Financial