Form Dr 309634 - Local Government User Of Diesel Fuel Tax Return Page 6
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6Column Instructions
Column Instructions
Column (1): Name of Supplier - Enter the name of the
Column (1): Name of Purchaser - Enter the name of the
company you purchased the fuel product from.
company you sold the fuel product to.
Column (2): Supplier’s FEIN/DEPN - Enter the FEIN/
Column (2): Purchaser’s FEIN/DEPN - Enter the FEIN/
DEPN of the company you purchased the fuel product
DEPN of the company you sold the fuel product to.
from.
Column (3): Date Sold - Enter the date the fuel product
Column (3): Date Received - Enter the date the fuel
was sold.
product was delivered to you.
Column (4): Invoice Number - Enter the invoice number
Column (4): Invoice Number - Enter the invoice number
or other document number issued by you to the
or other document number issued by the supplier to you
purchaser.
for the delivery.
Column (5): Gallons Sold - Enter the net amount of
Column (5): Gallons Received - Enter the net amount of
whole gallons sold.
whole gallons received.
Schedule Type Identifying Information
Schedule of Disbursements
Schedule 5A Gallons of Undyed Diesel, Gasoline or
Gasohol Delivered - All Taxes Collected.
The following schedule types provide detail in support of
Local government users of diesel fuel who sell undyed
the amounts shown under “Sales to Other Local
diesel fuel to other counties or municipalities are required
Government Users” on the Local Government User of
to complete and include this schedule, providing summary
Diesel Fuel Tax Return. You are required to report each
totals of gallons sold to another county or municipality.
disbursement of gasoline and diesel on a transaction-by-
transaction basis.
Identifying Information
Schedule 6B
Gallons of Dyed Diesel Delivered -
Enter the appropriate information (i.e., FEIN/DEPN, name,
Florida Tax Unpaid.
month/year) on each schedule page for the reporting
Local government users of diesel fuel who sell dyed
account.
diesel fuel to other counties or municipalities are required
to complete and include this schedule, providing summary
Schedule Type/Product Type
totals of gallons sold to another county or municipality.
Enter one of the following disbursement schedule type
numbers together with the product type. A separate
schedule type is required for each product type being
reported. Columns 1 through 5 require entries for each
disbursement transaction reported.
5A. Gallons Disbursed — Tax Paid.
6B. Gallons of Dyed Diesel Disbursed — Florida
Tax Unpaid.
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