Form L-2195 - Motor Fuel Manufacturers Monthly User Fee And Fee Calculation

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
L-2195
MOTOR FUEL MANUFACTURERS MONTHLY USER
(Rev. 12/17/07)
4351
FEE AND FEE CALCULATION
Mail to: South Carolina Department of Revenue, Motor Fuel Reports, Columbia, SC 29214-0132
EFT
License Number
MANUFACTURER
NAME AND ADDRESS
FEI Number
Period Covered
USER FEE AND OTHER APPLICABLE FEE CALCULATIONS
Total Gallons of Biodiesel (B100) Manufactured (Line 12 of calculation page)
1.
Total Gallons of Substitute Fuels Manufactured (Line 12 of calculation page)
2.
Total Gallons Manufactured (Line 1 + Line 2)
3.
Net Special Fuel User Fee Due (Line 3 x $.16)
4.
Penalty
5.
Interest
6.
Total Special Fuel User Fee Due (Line 4 + Line 5 + Line 6)
7.
34-2105
Inspection Fees Due (Line 13 of calculation page x $.0025)
8.
Penalty
9.
Interest
10.
Total Inspection Fees Due (Line 8 + Line 9 + Line 10)
11.
34-2314
Environmental Impact Fees Due (Line13 of calculation page x $.0050)
12.
Penalty
13.
Interest
14.
Total Environmental Impact Fees Due (Line 12 + Line 13 + Line 14)
15.
34-2312
Total Fees Due, Plus Penalty and Interest (Line 7 + Line 11 + Line 15)
16.
43511021

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