Form Tc-364b - Special Fuel Supplier Schedule Of Disbursements - 1997
Download a blank fillable Form Tc-364b - Special Fuel Supplier Schedule Of Disbursements - 1997 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Tc-364b - Special Fuel Supplier Schedule Of Disbursements - 1997 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Special Fuel Supplier Schedule of Disbursements
TC-364B Rev. 7/97
Company name
Account number
FEIN
Schedule type
Month/Year
Schedule Types
Check Product Types
122 Blend components (includes transmix)
175 Residual fuel oil
5. Gallons removed tax collected
226 High sulfur diesel fuel - dye added
142 Kerosene
Gallons of dyed diesel and dyed heating
6f.
fuel removed (Enter on line 10, TC-364)
227 Low sulfur diesel fuel - dye added
160 Diesel fuel - undyed
Gallons exported to state of _________
7.
(Enter on line 9, TC-364)
161 Low sulfur diesel #1 - undyed
228 #1 Diesel - dye added
Gallons delivered to Division of Air Quality certificate
10a.
holders - suppliers must keep a copy of the certificate
167 Low sulfur diesel #2 - undyed
on file (Enter on line 11, TC-364)
Gallons exchange disbursements
10b.
150 #1 Fuel oil - undyed
(Enter on line 13, TC-364)
Document number
Net
Gross
Billed
Carrier name
Mode
Point of origin
Destination
Buyer's name
Buyer's FEIN
Date shipped
Invoice number
Bill-of-lading
gallons
gallons
gallons
TOTALS
T364B.FRM
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial