Form 720-To Draft - Terminal Operator Report 2010 - Department Of The Treasury Page 3

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2
Form 720-TO (Rev. 9-2010)
Corrected
Void
Page
Terminal operator name as shown on Form 720-TO
EIN
TCN
For the month ending (enter MM/DD/YYYY)
Schedule A
Terminal Operator Receipts
Page
of
1
Product Code (PC). Enter the PC (see instructions). A separate
For more than one Schedule A, for each different PC, number each sheet. For
schedule is required for each PC
example, 1 of 4, 2 of 4, etc.
1a
Position Holder (PH) name. Enter PH name for PCs Bxx, Dxx,
PH EIN
PH Form 637 registration number
and Exx. Enter one name per page.
2
Enter in the columns below the information requested for the PC on line 1 above.
(d)
(c)
(e)
(f)
(g)
(a)
(b)
Vessel official number
Mode
Document
Document
Net
Carrier
Carrier
(required when mode code is
code
date
number
gallons
name
EIN
B, S, IB, IS, EB, or ES)
3
Total. Add amounts in column (g) and enter the total. If there is more than one page for a PC, add the amounts from each page
and enter the result on the last page of Schedule A for that PC. Do not enter page subtotals. Enter the amount from column (g) on
Form 720-TO, Part III, line 2, in the column for the applicable PC
3
720-TO
Form
(Rev. 9-2010)

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