Form Wv/mft-508a - Importer Schedule Of Tax-Paid Receipts

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WV/MFT-508 A
WEST VIRGINIA STATE TAX DEPARTMENT
Org. (5/03)
INTERNAL AUDITING DIVISION
P O BOX 2991
Charleston, WV 25330-2991
(304) 558-8500
IMPORTER SCHEDULE OF TAX-PAID RECEIPTS
FEIN/SSN
NAME
SCHEDULE NUMBER
MONTH/YEAR
1A
PRODUCT INFORMATION (CHECK APPLICABLE BOX)
MODE OF TRANSPORTATION
(COMPLETE SEPARATE SCHEDULES FOR EACH PRODUCT TYPE YOU RECEIVE)
CODES
□ 150 – #1 Fuel Oil
□ 228 – Diesel – Dyed
□ 054 – Propane
J – Truck
□ 125 – Aviation Gasoline
□ 160 – Diesel – Undyed
□ 224 – Compressed Natural Gas
R – Rail
□ 130 – Aviation Jet Fuel
□ 284 – Biodiesel – Undyed
□ 225 – Liquefied Natural Gas
□ 122 – Blending Components
□ 072 – Kerosene – Dyed
□ Other – Product Type ___________
□ 124 – Gasohol
□ 142 – Kerosene – Undyed
Product Code __________
□ 065 – Gasoline
PRODUCT RECEIPT INFORMATION
(1)
(2)
(3)
(4)
(5)
(7)
(8)
(9)
(10)
(11)
(6)
Mode
Point of
Date
Document
Gross
Net Gallons
INVOICED
Motor Fuel
Motor Fuel
Seller’s Name
Seller’s
Received
Number
Gallons
GALLONS
Transporter’s
Transporter’s
Origin
Destination
FEIN/SSN
(TCN)
Name
FEIN/SSN
Sub Total
GRAND TOTAL OF INVOICED GALLONS

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