Liquefied Petroleum Gas Vendor Tax Return Form - State Of South Dakota
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1Liquefied Petroleum Gas (LPG) Vendor Tax Return
NAME:
LICENSE NUMBER:
Remittance Center
Mail
RETURN PERIOD:
ADDRESS:
PO BOX 5055
Return To:
Sioux Falls, SD 57117-5055
RETURN DATE:
Check here if this is an amended return
Report in whole
Column A
Gross Gallons Only
Liquefied
SALES SUMMARY
Petroleum Gas
1
1
Gallons sold tax-unpaid to other licensed LPG Vendors – Attach Uniform Schedule of Disbursements – Type 6c
2
2
Gallons sold tax-unpaid for agricultural (exempt) use
3
3
Gallons sold tax-unpaid to exempt government agencies – Attach Uniform Schedule of Disbursements – Type 8
4
4
Gallons sold tax-unpaid to licensed LPG Users or Highway Contractors
5
5
Gallons exported from South Dakota - - Attach Uniform Schedule of Disbursements – Type 7
6
6
Gallons sold on which South Dakota sales tax is due and will be reported and remitted on your sales tax return
7
7
Gallons sold for or used in licensed vehicles upon which fuel tax is due (unless sold to a licensed LPG user or Highway Contractor)
8
8
Total LPG Gallons Sold or Exported – Add Lines 1, 2, 3, 4, 5, 6 and 7
INVENTORY RECONCILIATION
9
9
Beginning LPG Inventory
10
10
Total gallons received during the month or brought into South Dakota
11
11
Total gallons to be accounted for – Add Lines 9 and 10
12
12
Total gallons sold or exported – Record amount from Line 8 here
13
13
Ending LPG Inventory – Subtract Line 12 from Line 11
TAX CALCULATION AND REMITTANCE
14
14
Fuel Taxable Sales – Record Amount from Line 7 here
15
15
$0.20
Fuel Tax Rate
16
16
$
Fuel Tax Liability for this reporting period – Multiply amount on Line 14 by tax rate on Line 15
17
$
Allowance – Multiply first 25,000 gallons on Line 14 by 0.02 and excess gallons by .01. Add amounts and multiply by $0.20. Record amount
17
here ($500 maximum)
18
18
$
Net Fuel Tax Liability – Subtract Line 17 from Line 16
19
19
$
Interest and/or Penalty (If filing after due date)
20
20
$
Balance Due or Credit from prior records (See Computer Notice)
21
21
$
Total Remittance – Add Lines 18 and 19, and add or subtract Line 20 (Depending on balance due or credit)
I declare and affirm under the penalty of perjury that this report has been examined by me, and to the best of my knowledge and belief is in all things true and correct.
Signature
Title
Date
Check if final return and license is to be cancelled
DOR/DMV FORM 591 (04/97)
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