Form Mfd 1-S/af - Motor Fuel & Aviation Fuel Distributor Report - Department Of Safety - New Hampshire Page 4
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10STATE OF NEW HAMPSHIRE MOTOR FUEL & AVIATION FUEL DISTRIBUTOR REPORT INSTRUCTIONS - CONTINUED
SECTION I - RECEIPTS
LINE 1
Enter the total by product category of gallons received from NH licensed distributors in New Hampshire for bulk storage as reported
in Schedule 2.
LINE 2
Enter the total by product category of gallons received from NH licensed distributors in New Hampshire for export as reported in
Schedule 2E.
LINE 3
Enter the total by product category of gallons received from NH licensed distributors in New Hampshire and direct shipped to
customers as reported in Schedule 2F.
LINE 4
Enter the total by product category of gallons imported from another state direct to customer as reported in Schedule 3.
LINE 5
Enter the total by product category of gallons imported from another state into New Hampshire bulk storage as reported in
Schedule 4.
LINE 6
Calculate the total receipts by adding lines 1 through 5 for each product category. Transfer the totals entered on this line to Page1,
Line 2 of the return.
SECTION II - DISBURSEMENTS
LINE 1
Enter the total by product category of gallons delivered taxable as reported in Schedule 5. For Jet Fuel enter all values in the
“PRIVATE AND COMMERCIAL” column.
LINE 2
Enter the total by product category of gallons delivered to air carriers that are taxable at a lower tax rate as reported in Schedule 5X.
All values will be entered in the “AIR CARRIERS” column.
LINE 3
Enter the total by product category of gallons delivered to NH licensed distributors as reported in Schedule 6.
LINE 4
Enter the total by product category of dyed diesel and dyed kerosene gallons sold for tax exempt purposes as reported in
Schedule 6F.
LINE 5
Enter the total by product category of gallons exported as reported in Schedule 7.
LINE 6
Enter the total by product category of tax exempt gallons delivered to US Gov‟t bulk as reported in Schedule 8.
LINE 7
Enter the total by product category of tax exempt gallons delivered to State/Local Gov‟t bulk as reported in Schedule 9.
LINE 8
Calculate the total disbursements by adding lines 1 through 7 for each product category. Total all Jet Fuel gallons to a single total.
Transfer the totals entered on this line to Page 1, Line 4 of the return.
LINE 9
Calculate the total taxable gallons by adding Lines 1 and 2 for each product category. Transfer the totals entered on this line to
Page1, Line 8 of the return.
SECTION III – TAX-PAID CREDITS
LINE 1
Enter the total by product category of gallons from retail sales to US Gov‟t and their agencies as reported in Schedule 13C. For Jet
Fuel enter all values in the “PRIVATE AND COMMERCIAL” column.
LINE 2
Enter the total by product category of gallons from retail sales to local or State Gov‟t and their agencies as reported in Schedule
13H. For Jet Fuel enter all values in the “PRIVATE AND COMMERCIAL” column.
LINE 3
Enter the total by product category of gallons from retail sales to State, local or US Gov‟t and their agencies at the Air Carriers rate
as reported in Schedule 13K. All values will be entered in the “AIR CARRIERS” column.
LINE 4
Calculate the total tax-paid credits by adding Lines 1 through 3 for each product category. Transfer the totals entered on this line to
Page 1, Line 9 of the return.
RSA 260:38, I Provides that “ … on or before the twentieth day of each calendar month render a return to the department on forms prescribed
and furnished by the commissioner. The return shall show the total number of gallons sold and used in the state during the previous calendar
month…”
RSA 260:40, I Provides that “When any distributor shall fail to file a monthly report with the department at the time fixed in this subdivision,
refuse to submit the data required by RSA 260:38, or fail to pay the amount of road tolls due when they shall be payable, a penalty of 10
percent shall be added to the amount of the road tolls due… Such penalty shall immediately accrue, and thereafter the overdue road tolls and
the penalty shall bear interest as specified in RSA 260:40-a.”
MFD 1-S/AF (Revised 03/2010)
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