Form 72a240 - Special Fuels Dealer'S Schedule Of Dyed Diesel Sales Qualifying For Nonhighway Use Tax Credit - Kentucky Revenue Cabinet

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72A240 (7-00)
SPECIAL FUELS DEALER’S SCHEDULE OF DYED DIESEL SALES
Commonwealth of Kentucky
REVENUE CABINET
QUALIFYING FOR NONHIGHWAY USE TAX CREDIT
INSTRUCTIONS: This report must be filed by dealers claiming a
For Month of ______________________ , 20_____
Dealer License Number ______________________________________
credit for dyed diesel sold for nonhighway use to persons or entities.
Purchaser’s Soc. Sec.
Invoice
Invoice
Quantity Sold
Number or Federal
Purchaser’s Name
Street Address
City
ZIP Code
Number
Date
(Gallons)
Identificiation No.
(Attach continuation sheets if needed.)
TOTAL (reported on line 16, Form 72A200

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