Form Gas-1262 - Motor Fuels Application - North Carolina Department Of Revenue - 2008 Page 12
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2347. Provide the following information about suppliers from whom you purchase motor fuels and exchange partners from whom you receive
motor fuel. (Attach additional sheets if necessary.)
Shipping/Delivery Point
Product
Name
Importer License
List Federal 637 Number (If applicable):
48. Do you maintain bulk storage facilities in North Carolina?
Yes
No
49. Where will your bulk storage be located?
50. Fuel Storage Capacity:
Above Ground
Below Ground
51. If no bulk storage facility is owned, explain storage arrangements.
Yes
No
52. Do you plan to import petroleum products into North Carolina obtained from a supplier not licensed in North Carolina?
Yes
No
53. Do you plan to import racing fuel into North Carolina obtained from a supplier not licensed in North Carolina?
Yes
No
54. Do you plan to import petroleum products into North Carolina from your bulk plant located in another state?
55. 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
56. Indicate the means of transport for this imported product.
Seagoing Vessel/Barge
Transport Truck
Tank Wagon
Pipeline
Railroad Tank Car
Other - Describe
57. List the states from which you import petroleum products and your license number in those states. (Attach additional sheets if necessary.)
58. Estimate the number of taxable gallons that will be imported into 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
Kerosene
Biodiesel
Dyed
Yes
No
59. Do you plan to export petroleum products out of North Carolina?
Biodiesel
60. 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
61. Indicate the means of transport for this exported product.
Transport Truck
Seagoing Vessel/Barge
Tank Wagon
Pipeline
Railroad Tank Car
Other - Describe
62. List the destination states for exported petroleum products and your license number in those states. (Attach additional sheets if necessary.)
63. Are you a shipper of record on one of the commercial pipelines serving North Carolina?
Yes
No
Page 11
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