Form M-20a - Monthly Return Of Liquid Fuel Tax (State And County) And Environmental Response Tax Form - State Of Hawaii - Department Of Taxation Page 3

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FORM M-20A
(REV. 2006)
PAGE 3
PART IV — SUMMARY OF SALES
On Highway Diesel Oil and Liquid Fuel
(a)
(b)
(c)
(d)
(e) Add cols. a to d
(Gallons)
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Deduction for retail sales from Form M-2
4. Add lines 2 and 3
5. Taxable sales (Line 1 minus line 4)
Note: Taxable sales (line 5) should be the same amount entered in Part I, line 4.
On Highway - LPG
(a)
(b)
(c)
(d)
(e) Add cols. a to d
(Gallons)
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Deduction for retail sales from Form M-2
4. Add lines 2 and 3
5. Taxable sales (Line 1 minus line 4)
Note: Taxable sales (line 5) should be the same amount entered in Part I, line 7.
On Highway - Other Alternative Fuel
(a)
(b)
(c)
(d)
(e) Add cols. a to d
(Gallons)
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Deduction for retail sales from Form M-2
4. Add lines 2 and 3
5. Taxable sales (Line 1 minus line 4)
Note: Taxable sales (line 5) should be the same amount entered in Part I, line 10.
Off Highway Aviation and Diesel Oil
(a)
(b)
(c)
(d)
(e) Add cols. a to d
(Gallons)
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Deduction for retail sales from Form M-2
4. Add lines 2 and 3
5. Taxable sales (Line 1 minus line 4)
Note: Taxable sales (line 5) should be the same amount entered in Part I, line 15.
Off Highway Alternative Fuels
(a)
(b)
(c)
(d)
(e) Add cols. a to d
(Gallons)
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Net sales (Line 1 minus line 2)
Note: Net sales (line 3) is not taxable pursuant to section 243-4(c)(3), HRS.
FORM M-20A

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