Form Pt-102.2 - Diesel Motor Fuel - Transfers Out Of

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New York State Department of Taxation and Finance
PT-102.2
Diesel Motor Fuel - Transfers Out of
(3/01)
New York State and Sales in New York State for Immediate Export
Read instructions (Form PT-102-I) carefully. Keep a copy of this completed form for your records.
To the state or province of
Submit two copies with your return; use a separate sheet for each state or province.
Name of distributor
FEIN
Month/year
Part I - Transfers out of New York State
(do not list governmental entities or include any gallons sold to consumers for
heating, production or farming purposes; see lines 2 and 3 below)
Purchaser’s
Date
Gallons
Name
Address (city and state/province)
FEIN
Total gallons
..............................................................................................................
1
(add Gallons column)
Gallons sold to governmental entities ........................................................................................................
2
Gallons sold to consumers for heating, production or farming purposes
...
(do not include any gallons from line 2)
3
Total gallons
....................................................
4
(add lines 1, 2 and 3; enter here and on Form PT-102, line 17)

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