New York State Department of Taxation and Finance
PT-102.3
Diesel Motor Fuel - Summary of Taxable Sales,
(3/01)
Sales to Manufacturers for Use in Manufacturing and
Sales to Railroads for Use as Railroad Diesel
Read instructions (Form PT-102-I) carefully. Keep a copy of this completed form for your records.
Name of distributor
FEIN
Month/year
Part I - Summary of taxable sales
Purchaser’s
Date
Gallons
Name
Address
FEIN
Total gallons
(enter here only - this figure is not transferred to Form PT-102) .................................................................