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Form Rt113 - Schedule 14b-Motor Fuel And Petroleum Products Transporter'S Report-Schedule Of Deliveries Page 2

MOTOR FUEL AND PETROLEUM PRODUCTS TRANSPORTER'S REPORT

Schedule of Deliveries-Instructions

SCHEDULE 14B

General Instructions

Schedule 14B provides detail of each delivery included on the Motor Fuel and Petroleum Products Transporter's Report. Prior to recording the information

requested in columns (1) through (10), you should organize your records for Schedule 14B to reflect total of all deliveries of fuel from out-of-state locations to

locations inside the state (imports).

Column Instructions

Columns (1) & (2):

Person Hiring the Carrier-Enter the name and FEIN of the company that hired the carrier.

Columns (3) & (4):

Seller-Enter the name and FEIN of the company from whose account the fuel was withdrawn at the terminal.

Column (5):

Mode of Transport-Enter one of the following:

J=Truck

R=Rail

B=Barge

PL=Pipeline

CE=Summary

S=Ship (Great Lakes or Ocean Marine Vessel)

GS=Gas Station

RT=Removal from terminal (other than by truck or rail for sale or consumption)

Column (6):

Origin-Enter the city and/or state or country shown on the delivery document (bill of lading, manifest, or other loading document

issued by the terminal operator) where the petroleum product was loaded for each delivery. If the product was loaded at a terminal,

enter the IRS Terminal Control Code assigned to that terminal.

Columns (7), (8), & (9):

Delivered To-Enter the name, address and FEIN of the final delivery point. If delivered to a terminal, enter the IRS Terminal

Control Number for that terminal.

Column (10):

Date Delivered-Enter the date the petroleum product was delivered for each delivery (MM/DD/YY).

Column (11):

Document Number-Enter the identifying number from the document issued at the terminal when product was removed over the rack.

In the case of pipeline or barge movements, enter the pipeline or barge ticket number.

Column (12):

Gallons-Enter the number of gross gallons delivered for each delivery.

RT113 –Schedule 14B (07/05)

Form Rt113 - Schedule 14b-Motor Fuel And Petroleum Products Transporter'S Report-Schedule Of Deliveries Page 2

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