New York State Department of Taxation and Finance
PT-103.3
Residual Petroleum Product - Sales for
(3/01)
Bunker Fuel and for Manufacturing Purposes
Read instructions (Form PT-103-I) carefully. Keep a copy of this completed form for your records.
Name of petroleum business
FEIN
Month/year
Part I - Sales or use as bunker fuel in vessels
Purchaser’s
Vessel’s
Identification
Name
FEIN
Name
Date
number
Gallons
Total gallons
..................................................................................................................
(enter here and on Form PT-103, line 15)