Form Txsfs1 - Special Fuel Suppliers Schedule Of Purchases - Taxation And Revenue Department - New Mexico

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STATE OF NEW MEXICO
TAXATION AND REVENUE DEPARTMENT
FUELS TAX UNIT
SPECIAL FUEL SUPPLIERS SCHEDULE OF PURCHASES
SCHEDULE TYPE:
Taxpayer ID#
MONTH/YR
A.
Gallons received from rack operator, produced or blended
Company Name
Gallons Imported from State of
B.
Other Gallons Purchased
C..
NM Tax
Business
Loading
Document
Tax Excluded
Tax Included
Identification Number
Name
Point
Date
Number
Gallons
Gallons
TOTALS
TXSFS1 rev 06/00

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