Form Gas-1301 - Motor Fuel Transporter Return Form - North Carolina Department Of Revenue Page 2
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1
2Motor Fuel Transporter Schedule of Deliveries
Gas-1301DS
North Carolina Department of Revenue
File with GAS-1301
1-08
Schedule
Product
Legal Name (First 35 Characters) (USE CAPITAL LETTERS FOR YOUR NAME)
Account Number
Month
Year
Type
Type
-
Schedule Type
Mode (Column 3)
Product Type
J
=
065 Gasoline
160 Diesel - Undyed
Truck
14A Gallons of motor fuels loaded at a North Carolina terminal or bulk
R
=
Rail
072 Kerosene - Dyed
226 Diesel - High Sulfer Dyed
plant and delivered to another state
=
B
Barge
123 Alcohol
227 Diesel - Low Sulfur Dyed
14B Gallons of motor fuels loaded at an out-of-state terminal or bulk
=
PL
Pipeline
124 Gasohol
241 Ethanol
plant and delivered in North Carolina
=
S
Ship
125 Aviation Gasoline
243 Methanol
14C Gallons of motor fuels loaded at a North Carolina terminal or bulk
B A
=
Book Adjustment
130 Jet Fuel
284 Biodiesel - Undyed
plant and delivered in North Carolina
ST
=
Stationary Transfer
142 Kerosene - Undyed
290 Biodiesel - Dyed
CE
=
Summary
Delivered To:
Person Hiring the Carrier
(6)
(10)
(11)
(12)
(13)
(4)
(1)
(2)
(3)
(5)
Origin Terminal or
(7)
(8)
(9)
Date
Document
Gross
Net
Company Name
Company FEIN
Seller Name
Seller FEIN
Mode
City, State
Name
City and State
FEIN
Delivered
Number
Gallons
Gallons
TOTAL
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