Form Pda-78- Petroleum Product Reconciliation
Download a blank fillable Form Pda-78- Petroleum Product Reconciliation in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Pda-78- Petroleum Product Reconciliation with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1PDA-78
Petroleum Product Reconciliation
Tax paid purchases
Gallons received
Purchase
Supplier’s
Supplier’s Minnesota
Gasoline
Undyed fuel
Dyed fuel
date
name
tax ID number
oil
oil
Totals (enter on line 2 below)
Product reconciliation
Gasoline
Undyed fuel oil
Dyed fuel oil
1 Total gallons reported on monthly gasoline tax return . . . . . . . . . . . . . . . . . . .
2 Tax paid purchases (enter totals from above) . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Total of all receipts (add lines 1 and 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 First-of-month inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Total to account for (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Sales and company use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 End-of-month book inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 End-of-month measured readings (see worksheet below) . . . . . . . . . . . . . . . .
10 Loss or gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Worksheet for line 9
Gasoline
Undyed fuel oil
Dyed fuel oil
A Gasoline . . . . . . . . . . . . . . . . . . . . . . .
ft
in . . . . .
B Number 1 fuel . . . . . . . . . . . . . . . . . .
ft
in . . . . .
ft
in . . . . .
C Number 2 fuel . . . . . . . . . . . . . . . . . .
D Kerosene . . . . . . . . . . . . . . . . . . . . . . .
ft
in . . . . .
E Other . . . . . . . . . . . . . . . . . . . . . . . . . .
ft
in . . . . .
F Total (enter on line 9 above) . . . . . . .
ft
in . . . . .
G In tank wagons (gallons) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Keep this form for future audits.
Website: Email: Petroleum.Tax@state.mn.us. Phone: 651-296-0889. TTY: Call 711 for Minnesota Relay.
(Rev. 11/10)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial