Form L-2129a - Amended Motor Fuel Suppliers Tax And Fee Calculation
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1
2STATE OF SOUTH CAROLINA
1350
DEPARTMENT OF REVENUE
L-2129A
AMENDED MOTOR FUEL SUPPLIERS
(Rev. 7/18/07)
4305
TAX AND FEE CALCULATION
EFT
Mail to: South Carolina Department of Revenue, Motor Fuel Reports, Columbia, SC 29214-0132.
License Number
SUPPLIER NAME AND ADDRESS
Name
FEI Number
Street or P.O. Box
Period Covered
City
State
Zip
Phone Number
TAX AND FEE CALCULATIONS
SUPPLEMENTAL
AMOUNTS ONLY
1.
Gasoline Tax Collected
2.
Less Tare Allowance
3.
Less Administration Allowance
4.
Gasoline Tax Due
5.
Penalty:
Interest:
6.
Net Gasoline Tax Due, Penalty and Interest
34-2301
(If Line 6 is a Credit, Enter on Line 7)
Gasoline Tax Credit
7.
34-2301
8.
Special Fuels Tax Collected
9.
Less Tare Allowance
10.
Less Administration Allowance
11.
Special Fuels Tax Due
12.
Penalty:
Interest:
Net Special Fuel Tax Due, Penalty and Interest
13.
(If Line 13 is a Credit, Enter on Line 14)
34-2101
14.
Special Fuel Tax Credit
34-2101
15.
Inspection Fee Collected
16.
Penalty:
Interest:
17.
Net Inspection Fees Due, Penalty and Interest
34-2314
(If Line 17 is a Credit, Enter on Line 18)
18.
Inspection Fee Credit
34-2314
19.
Environmental Impact Fees Collected
20.
Penalty:
Interest:
Net Environmental Impact Fees Due, Penalty and Interest
21.
34-2312
(If Line 21 is a Credit, Enter on Line 22)
22.
Environmental Impact Fees Credit
34-2312
Total Taxes, Fees, Penalty and Interest Due
23.
Total Credit Due
24.
43051010
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