Form Mf-002t - Schedule Of Transactions (Fillable) - 2007
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Wisconsin Combined
DUE DATE: Last day of the
MAIL YOUR REPORT AND SCHEDULES TO:
month following the month
Monthly Fuel Summary Report
Wisconsin Department of Revenue
covered by this report.
PO Box 8900
Madison WI 53708-8900
To be filed by motor vehicle fuel suppliers, restricted suppliers,
petroleum products shippers, terminal operators and fuel transporters.
Legal Name
FEIN
Mailing Address - Street or PO Box Number
SSNo
*X10207991*
City
State
Zip
Please print or type and use BLACK ink.
Type of change
Date of change
(MMDDYYYY)
Report for month ending
(MMDDYYYY)
Ownership
Name
Address
Motor Vehicle Fuel Suppliers Report
NO ACTIVITY
Column 1
Column 2
Column 3
Fuel Disbursements in Gross Gallons
Gasoline
Undyed Diesel
Other Fuels
1
Fuel originating from IRS Registered Terminals (Sch. TD)
1
2
Fuel originating from locations other than IRS Registered Terminals (Sch. OD)
2
3 SUBTOTALS
(add lines 1 and 2 in each column)
3
4
Tax & fee paid fuel delivered to IRS Registered Terminal (Sch. 1F)
4
5
Tax & fee paid fuel exported from Wisconsin (Sch. 7)
5
6
Tax & fee paid fuel sold to the US Government (Sch. 8)
6
7
SUBTOTALS (add lines 4, 5 & 6 in each column)
7
8 GALLONS SUBJECT TO THE PETROLEUM INSPECTION FEE
(line 3 less line 7)
8
9
Tax & fee paid gasoline sold exempt for off-road use (Sch. 10A)
9
10
Tax & fee paid gasoline sold exempt to aviation fuel dealers (Sch. 10B)
10
11
Tax & fee paid fuel sold exempt for urban mass transit (Sch. 10C)
11
12
Tax & fee paid fuel sales representing uncollectible fuel taxes (Sch. 10E)
12
13
Tax & fee paid undyed diesel fuel sold exempt for trains (Sch. 10G)
13
14
Tax & fee paid undyed diesel fuel sold exempt for heating oil (Sch. 10H)
14
15
Tax & fee paid fuel sold exempt to Native Americans (Sch. 10T)
15
16 SUBTOTALS
(add lines 9 through 15)
16
17
GALLONS SUBJECT TO THE MOTOR VEHICLE FUEL TAX (line 8 less line 16)
17
Gasoline
Undyed Diesel
Other Fuels
Summary of Motor Vehicle Fuel Tax
18
Enter gallons from line 17 above (columns 1 & 2)
18
19
LESS GAS ALLOWANCE (1.35% of line 18)
19
20
Subtotals (line 18 less line 19 in each column)
20
21 TOTAL GALLONS SUBJECT TO FUEL TAX
(add columns 1 & 2 on line 20)
21
x .309
22
Wisconsin fuel tax rate per gallon
22
23 MOTOR VEHICLE FUEL TAX DUE
(multiply line 21 by rate on line 22)
23 $
Gasoline
Undyed Diesel
Other Fuels
Summary of Petroleum Inspection Fee
24
Enter gallons from line 8 above (columns 1, 2 & 3)
24
25 TOTAL GALLONS SUBJECT TO THE FEE
(add columns 1, 2 & 3 on line 24)
25
x .02
26
Petroleum inspection fee per gallon
26
$
27 PETROLEUM INSPECTION FEE DUE
(multiply line 25 by fee on line 26)
27
28 TOTAL TAX & PETROLEUM INSPECTION FEE DUE
(add lines 23 and 27)
28 $
29
Late Filing Fee
$
29
30
Interest - If paid late add interest at the rate of 1.5% per month (.0005/day)
30
$
31 TOTAL DUE
31
$
Gasoline
Undyed Diesel
Other Fuels
Fuel Disbursements Not Subject to Motor Vehicle Fuel Tax or
Petroleum Inspection Fee
32
Fuel originating from IRS Registered Terminals (Sch. TD)
32
MF-002W (R. 5-07)
R593
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