Form Pt-102.3 - Diesel Motor Fuel - Summary Of Taxable Sales, Sales To Manufacturers For Use In Manufacturing And Sales To Railroads For Use As Railroad Diesel Form - New York State Department Of Taxation And Finance Page 2

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PT-102.3 (3/01) (back)
Name of distributor
FEIN
Month/year
Part II - Sales or use in manufacturing
Purchaser’s
Date
Name
Address
FEIN
Gallons
Total gallons
..........................................................................................
(enter here and on Form PT-102, line 10)
Part III - Sales or use as railroad diesel
Purchaser’s
Date
Name
Address
FEIN
Gallons
Total gallons
..........................................................................................
(enter here and on Form PT-102, line 30)

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