Instructions For Form Rpd-41307 - Rack Operator Report - New Mexico Department Of Revenue Page 6

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Distributors on Indian land. These sales must be supported by documentation showing
that the tribal fuel tax was paid, and the documentation must be kept in the terminal
records for at least three years. Complete one line on the schedule for EACH load of
fuel sold during the report month.
Column 1 - Carrier Name: Enter the name of the carrier who removed the fuel from
the terminal.
Column 2 - Carrier FEIN: Enter the FEIN of the carrier.
Column 3 - Mode: Enter the mode of transport from the terminal.
(J = Truck, R = Rail)
Column 4 - Destination State: Enter NM for New Mexico.
Column 5 - Purchaser: Enter the name of the purchaser of the fuel.
Column 6 - Purchaser FEIN: Enter the FEIN the purchaser.
Column 7 - Date Shipped: Enter the date the fuel was removed from the terminal.
Column 8 - B O L Number: Enter the Bill Of Lading number.
Column 9 - Net Gallons: Enter the net gallons.
Column 10 - Gross Gallons: Enter the gross gallons.
Calculate and enter the Total Net Gallons at the bottom of column 9.
SCHEDULE TYPE 10A - Gallons sold and shipped directly to other than a
Registered Indian Tribal Distributor on Indian land.
Report all motor fuel sold and transported directly to other than a Registered Indian
Tribal Distributors on Indian land. These sales must be supported by documentation
showing that the tribal fuel tax was paid, and the documentation must be kept in the
terminal records for at least three years. Complete one line on the schedule for EACH
load of fuel sold during the report month.
Column 1 - Carrier Name: Enter the name of the carrier who removed the fuel from
the terminal.
Column 2 - Carrier FEIN: Enter the FEIN of the carrier.
Column 3 - Mode: Enter the mode of transport from the terminal.
(J = Truck, R = Rail)
Column 4 - Destination State: Enter NM for New Mexico.
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