Form Gas-1262 - Motor Fuels Application - North Carolina Department Of Revenue - 2008 Page 10

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16. Indicate the type of petroleum products imported into North Carolina.
Gasoline
Undyed Kerosene
Aviation Gasoline
Alcohol
Low Sulfur Diesel
Dyed Kerosene
Ethanol
Propane
High Sulfur Diesel
Jet Fuel
Methanol
Undyed Biodiesel
Dyed Biodiesel
List Federal 637 Number:
Supplier License
Yes
No
17. Do you lease storage facilities in a terminal in North Carolina?
18. From whom and where do you lease the storage facilities? (Attach additional sheets if necessary.)
Yes
No
19. Do you plan to import petroleum products into North Carolina?
20. Indicate the type of petroleum products imported into North Carolina.
Gasoline
Undyed Kerosene
Aviation Gasoline
Alcohol
Low Sulfur Diesel
Dyed Kerosene
Ethanol
Propane
High Sulfur Diesel
Jet Fuel
Methanol
Undyed Biodiesel
Dyed Biodiesel
21. Indicate the means of transport for this imported product.
Transport Truck
Seagoing Vessel/Barge
Tank Wagon
Pipeline
Railroad Tank Car
Other - Describe
22. List the states from which you import petroleum products and your license number in those states. (Attach additional sheets if necessary.)
23. Estimate the number of taxable gallons that will be sold or used in North Carolina during an average month.
Dyed
Methanol
Gasoline
Kerosene
Low Sulfur
Jet Fuel
Alcohol
Diesel
High Sulfur
Aviation
Propane
Diesel
Gasoline
Undyed
Undyed
Ethanol
Biodiesel
Kerosene
Dyed
Yes
No
24. Do you plan to export petroleum products out of North Carolina?
Biodiesel
25. Indicate the type of petroleum products exported from North Carolina.
Gasoline
Undyed Kerosene
Aviation Gasoline
Alcohol
Low Sulfur Diesel
Dyed Kerosene
Ethanol
Propane
High Sulfur Diesel
Jet Fuel
Methanol
Undyed Biodiesel
Dyed Biodiesel
26. Indicate the means of transport for this exported product.
Seagoing Vessel/Barge
Transport Truck
Tank Wagon
Railroad Tank Car
Pipeline
Other - Describe
27. List the destination states for exported petroleum products and the license number in those states. (Attach additional sheets if necessary.)
Yes
No
28. Are you a shipper of record on one of the commercial pipelines serving North Carolina?
29. What other types of operations will you be engaged in?
Exchanges
Direct shipments
Other - Describe
Sales on consignment
Sell petroleum products
Trade petroleum products
Operate service stations
30. Provide the following information about suppliers from whom you purchase motor fuel and exchange partners from whom you receive
motor fuel. (Attach additional sheets if necessary.)
Product
Name
Shipping/Delivery Point
Page 9

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