Form Mft-504 - West Virginia Motor Fuel Supplier/permissive Supplier Page 3
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1
2
3WORKSHEET A - TAXABLE INVOICED GALLONS
Dyed Diesel &
Aviation
Aviation
Clear Kerosene/
Gasoline
Gasohol
Undyed Diesel
Propane
Report in Whole Gallons
Dyed Kerosene
Gasoline
Jet Fuel
Other
Gallons @.117
Gallons @.117
Gallons @.117
Gallons @.117
Total Gallons sold WV Tax Collected -
.
1
Unlicensed Distributors and Licensed
Suppliers. (Schedule 5A and Schedule 5E)
Gallons@.2050
Gallons@.2050
Gallons@.2050
Total Gallons sold WV Tax Collected -
2
.
ENTER EXEMPT MOTOR FUEL SOLD FOR TAXABLE PURPOSE
(On-Highway Only)
Unlicensed Distributors and Licensed
By Product Type – Transfer to Section 1 – Line 7
Suppliers. (Schedule 5H)
Gallons @.117
Gallons @.117
Gallons @.117
Gallons @.117
Total Gallons sold WV Tax Collected -
.
3
Licensed Distributor, Licensed Importer and
Licensed Exporter. (Schedule 5D & 7B)
Gallons @.2050
Gallons @.2050
Gallons @.2050
4. Total Gallons sold WV Tax Collected
ENTER EXEMPT MOTOR FUEL SOLD FOR TAXABLE PURPOSE
(On-Highway Only)
Licensed Distributor and Licensed Importer.
By Product Type – Transfer to Section 1 Line 7
(Schedule 5G)
CALCULATION OF DISTRIBUTOR DISCOUNT
.
5
Multiply Line 3 by .2050
$
$
$
$
6. Multiply Line 4 by .2050
$
$
$
7. Multiply Lines 3 and 4 by .117
$
$
$
$
$
$
$
$
8. Add Lines 5, 6, and 7
$
$
$
$
$
$
$
$
9.
Add Line 8 (all columns) and enter total
$
10.
Multiply Line 9 by .0075 and TRANSFER TOTAL TO FRONT OF REPORT – Line 2
$
11.
Gross Taxable Gallons
(Add Lines 1, 2, 3 and 4)
12.
(Schedule 1)
Tax Paid Receipts
13.
Net Taxable Gallons
(Subtract Line 12 from Line 11)
By Product Type -Transfer to
Section 1 Lines 1, 4, and 7
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