Form Au-473 - Reimbursement Application For Petroleum Business Tax On Fuel Used For Commercial Gallonage - 2011 Page 2
ADVERTISEMENT
1
2Page 2 of 2 AU-473 (9/11)
Schedule A - Non-Highway Diesel Motor Fuel Purchases
(Attach additional sheets if necessary.)
Date of
Seller’s name, city, and county
Invoice
Number of
Excise
Petroleum
Sales
purchase
number
gallons
tax paid
business tax
tax paid
paid
(mm/dd/yy)
1 Total gallons
............................. 1.
(add the number of gallons above)
2 Gallons used for other purposes (noncommercial gallonage
... 2.
)
3 Gallons used for commercial gallonage
(subtract line 2 from
............................................... 3.
line 1; also enter on page 1, line 1)
Schedule B - Residual Petroleum Product Purchases
(Attach additional sheets if necessary.)
Date of
Seller’s name, city, and county
Invoice
Number of
Petroleum
Sales
purchase
number
gallons
business tax
tax paid
paid
(mm/dd/yy)
1 Total gallons
............................. 1.
(add the number of gallons above)
2 Gallons used for other purposes (noncommercial gallonage) ... 2.
3 Gallons used for commercial gallonage
(subtract line 2 from
............................................... 3.
line 1; also enter on page 1, line 2)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Au-473 -reimbursement Application For Petroleum Business Tax On Fuel Used For Commercial Gallonage
Financial
Form Ft-400/401 - Application For Reimbursement Of Nys Petroleum Business Tax (pbt) On Motor Fuel/diesel Motor Fuel For An Omnibus Carrier-nonpublic School Operator
Financial
Form B-10 - Registration Application For Commercial Fertilizers To Be Distributed In Bulk Or In Packages Exceeding 12 Pounds - Office Of Indiana State Chemist - Purdue University
Legal
Related Categories
Parent category: Financial