Form 3978 - Fuel Supplier Return

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Michigan Department of Treasury
3978 (Rev. 12-16)
Reset Form
340-SUP
Fuel Supplier Return
Issued under authority of P.A. 403 of 2000, as amended. Filing is Mandatory.
This report is due
2. Account Number (FEIN or TR)
2A. License Number
3. Report Period (MM/YYYY)
1. Company Name and Mailing Address
4. Contact Person Name
5. Telephone Number
6. Fax Number
7. E-Mail Address
See instructions for further information.
2. Ethanol Blends
3. Undyed Petroleum
4. Undyed Biodiesel
Schedule
1. Gasoline
5. Aviation
(E70 - E99)
Diesel
(B05 or higher)
PART 1: TAX COMPUTATION
8. Taxable gallons from line 38.
1
9. Tax-paid purchases.
13C
10. Exempted credit card sales to U.S. Gov.
13H
11. Exempt credit card sales to State and Local Gov.
13F
12. Tax deemed uncollectible.
13. Subtract lines 9-12 from line 8.
14. Collection Allowance. Multiply line 13 by 1.5%.
15. Subtract line 14 from line 13.
11A
16. Diversions TO Michigan.
17. Add lines 15-16.
.263
.263
.263
.263
.03
TAX RATE
$
$
$
$
$
18. Multiply line 17 by tax rate.
19. Credit for interstate flights.
$
$
$
$
$
20. Subtract line 19 from line 18.
$
$
$
$
$
21. Tax recovered that was deducted as uncollectible.
$
$
$
$
$
22. Add lines 20-21.
23a.
23b.
23c.
23. Add Columns 1 and 2 from line 22 and enter in 23a.
Add columns 3 and 4 and enter in 23b. Carry aviation total
$
$
$
from line 22 to 23c.
$
24. Add tax due from all columns of line 23.
$
25. Penalty.
$
26. Interest.
$
27. Total remittance. Add lines 24-26.

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