Form 4757 - Distributor'S Monthly Tax Report - Missouri Department Of Revenue - 2017 Page 3
Download a blank fillable Form 4757 - Distributor'S Monthly Tax Report - Missouri Department Of Revenue - 2017 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 4757 - Distributor'S Monthly Tax Report - Missouri Department Of Revenue - 2017 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
1
2
3This report and its supporting schedules must be fully completed
20. Motor fuel gallons sold to railroad corporations, airline com panies
and mailed to the Missouri Department of Revenue along with
or used as bunker fuel in vessels are not subject to the transport
any tax and fees due on the last day of each month for the
load fee (Total from attached Schedule 10K, 10R, or 10Y).
purchases made in the preceding calendar month unless such day
21. Total gallons subject to transport load fee (Line 19 minus (–) Line
falls on a week end or state holiday in which case the report, tax,
20).
and fees would be due the next succeeding business day. A report
22. Transport load fee (Line 21 times (X) 0.0025).
is due whether or not there was any activity during the month.
Visit
to access the due date
23. If you have a transport load fee credit from a previous report, you
schedule.
will receive a letter. Enter the amount of your transport load fee
credit and attach a copy of the authorization.
Original reports and schedules must contain all the required
24. Total transport load fee due (Line 22 minus Line 23).
information. Computer generated reports and schedules,
approved by the Department, must contain all the information
required on the original reports and schedules.
Taxes and Fees Due (Round to whole dollars)
25. Total motor fuel tax due (Line 12, all columns except aviation and
Correcting Reports
gasoline).
Additional Report - adds or takes away any additional gallons from
26. Total aviation gasoline tax due (Total from Line 12).
the original report. When filing an additional report, please report only
those gallons in which you are changing.
27. Total inspection fee due (Total from Line 18).
28. Total transport load fee due (Total from Line 24).
Amended Report - filed when all or the majority of the information
originally reported is incorrect. This type of report will replace all
29. Total taxes and fees due (Lines 25, 26, 27, and 28).
information that was first reported.
You Must Round To Whole Gallons And Dollars
Penalty (Round to whole dollars)
(Example: Round down if less than .50 and round up if .50 to .99)
30. If your report is not filed on a timely basis or taxes are not paid
timely (filed and received by the United States Post Office
Taxable Gallons (Round to whole gallons)
cancellation stamped upon the envelope), you are subject to a
1. Gallons of blend stock received tax and fees unpaid (From
penalty of five percent per month up to 25 percent of the total
worksheet, Line 6).
2. Gallons of fuel received in Missouri tax and fees unpaid.
amount of tax (Line 29 times (X) penalty amount, 5 percent up to
Attach an explanation with Schedule 2A (From worksheet,
25 percent).
Line 5). Tank wagon operators report fuel imported into Missouri
on this line.
Interest (Round to whole dollars)
3. Gallons of tax exempt product blended (For taxable use) (From
31. Interest is due on any late payment (Line 29 times (X) the
work sheet, Line 17).
annual interest rate, multiplied by (X) the number of days late
4. Gallons of dyed fuel sold for taxable purposes (From worksheet,
Line 11).
divided by 365 (366 for leap years)). The annual interest rate is
5. Gallons subject to tax and fees (Total of Lines 1, 2, 3, and 4).
subject to change each year. Visit the Department’s website at
6. Gallons of fuel exported (Missouri tax and fees paid) (From
to access the annual interest
worksheet, Line 14).
rate.
7. Calculate allowance. Line 6 times (X) the appropriate
32. Total taxes, fees, penalty, and interest due (Lines 29, 30, and 31).
per cent age. (Applies only when supplier passed allowance to
purchaser of Missouri tax paid fuel.)
8. Net gallons exported of Missouri tax paid fuel. (Line 6 minus (–)
Pool Bond Payment - Participants Only (Round to whole dollars)
Line 7).
33. Pool bond amount due. From Form 4759, Schedule 5T.
9. Net gallons subject to tax and fees (Line 5 minus (–) Line 8).
34. Total remittance due. Total fuel tax, fees, and pool bond amount
due (Total Line 32 plus (+) Line 33).
Tax Calculation (Round to whole dollars)
Tax rate for gasoline, alcohol blended with gasoline, gasohol and
other products blended with gasoline, clear diesel, clear ker o sene
Send your check or money order to the Missouri Department of
and other products blended with clear diesel or clear kerosene
R e v e n u e . Y o u m a y a l s o c h a r g e t h e b a l a n c e d u e t o
is $0.17 per gallon. Aviation gasoline tax rate is $0.09 per gallon.
Mastercard, Discover, American Express, or Visa by calling
The tax rate for CNG and LNG is $.05 per gallon equivalent.
10. Tax due is based on the taxable gallons times (X) the appropriate
t o l l - f r e e ( 8 8 8 ) 9 2 9 - 0 5 1 3 o r y o u m a y p a y o n l i n e a t
tax rates (Line 9 times (X) $0.17, $.05 or $0.09).
A convenience fee
11. If you have a motor fuel tax credit from a previous report,
will be charged to your account for processing. If you pay by check,
you will receive a letter. Enter the amount of your motor fuel tax
you authorize the Department to process the check electronically.
credit and attach a copy of the authorization.
Any returned check may be presented again electronically. Mail the
12. Total motor fuel tax due (Line 10 minus Line 11).
report and schedules to: Missouri Department of Revenue, Taxation
Inspection Fee (Round to whole dollars)
Division, P.O. Box 300, Jefferson City, Missouri 65105-0300.
13. Total gallons subject to inspection fee (From worksheet, Lines 5,
If you have questions or need assistance in completing this form,
6, 17, and 17A minus Line 18).
please call (573) 751-2611 or you can e-mail excise@dor.mo.gov.
14. Gallons of fuel exported fees paid (From worksheet, Line 14).
Y o u m a y a l s o a c c e s s t h e D e p a r t m e n t ’ s w e b s i t e a t
15. Gallons subject to inspection fee (Line 13 minus (–) Line 14).
16. Inspection fee due (Line 15 times (X) .0007).
to obtain this form.
17. If you have an inspection fee credit from a previous report, you
Please ensure that you sign, indicate your title, and date the report.
will receive a letter. Enter the amount of your inspection fee
credit and attach a copy of the authorization.
Motor Fuel Tax, Aviation Gasoline Tax, Inspection Fee, Transport
18. Total inspection fee due (Line 16 minus Line 17).
Load Fee and Pool Bond are five separate accounts. Do not use a
credit on one account to pay for another account. (Example: Motor
Transport Load Fee (Round to whole dollars)
Fuel Tax credit cannot be used to pay Aviation Gasoline Tax.)
19. Total gallons of fuel subject to transport load fee (Line 15 above).
Form 4757 (Revised 04-2017)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 4426-20- Out-of-state Missouri Cigarette Wholesaler Monthly Cigarette Tax Report - Missouri Department Of Revenue, Taxation Bureau
Financial
Instructions For Form Mt11 - Production Tax Report - Minnesota Department Of Revenue - 2017
Financial
Related Categories
Parent category: Financial