Form Pt-106.1/201.1 - Retailers Of Heating Oil Only - Receipts And Sales Form
ADVERTISEMENT
1
2New York State Department of Taxation and Finance
PT-106.1/201.1
(3/01)
Retailers of Heating Oil Only - Receipts and Sales
Read instructions carefully. Keep a copy of this completed form for your records.
Name of distributor
FEIN
Month/year or quarterly period
Part I - Receipts in New York State from sources outside this state
For each out-of-state supplier from whom you imported diesel motor fuel, enter the (1) date (various receipts during the period may be
reported on one line without the date entry), (2) name, (3) address of supplier, (4) supplier’s FEIN, (5) code for each product type, and (6) total
gallons of each product type that you imported during the period. If diesel motor fuel has been imported from your own out-of-state facilities
during the period, enter the name and address of each facility, the code for each product type, and the total gallons of each product type.
Include all gallons shipped directly to any of your facilities or customers in New York State.
Supplier’s
Product
Type*
Date
Name
Address (city and state/province)
FEIN
Gallons
Total gallons
(enter here and on line 2, of either Form PT-106, for monthly filers, or Form PT-201,
for quarterly filers)
......................................................................................................................................
Part II - Receipts in New York State from sources within this state
For each supplier from whom you purchased or received diesel motor fuel in New York State, enter the (1) date (various receipts during the
period may be reported on one line without the date entry), (2) name, (3) supplier’s FEIN, (4) code for each product type, (5) total gallons of
each product type that you purchased or received untaxed (for which you provided a completed Form FT-1001), and (6) total gallons of each
product type that you purchased or received with Articles 12-A and 13-A taxes passed through to you. Include all gallons shipped directly to any
of your facilities or customers in New York State.
A
B
Supplier’s
Gallons on
which the taxes
Product
have been passed
Date
Name
FEIN
Type*
Untaxed Gallons
through to you
Total ...........................................................................................................................
Total gallons
(add column A total and column B total; enter here and on line 3, of either Form PT-106,
....................................................................................
for monthly filers, or Form PT-201, for quarterly filers)
* Product Type:
1 - Kerosene; 2 - No. 2 fuel oil; 3 - Diesel fuel, No. 1 diesel fuel, No. 2 diesel fuel, and enhanced No. 2 fuel oil;
4 - No. 4 fuel oil
5 - Kero-jet fuel; 6 - Other
;
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial