Form 06-149 - Texas Schedule Of Gallons Imported Texas Tax-Paid
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1
206-149
(Rev.3-06/2)
PRINT
b.
<choose one>
a.
DO NOT WRITE IN SHADED AREAS
TYPE or PRINT
TEXAS SCHEDULE OF GALLONS
c. Taxpayer number
d. Filing period
IMPORTED TEXAS TAX-PAID
(Item 6)
f.
e. Taxpayer name
1. Transporter name
2. Transporter taxpayer number
3. Seller name
4. Seller taxpayer number
5. Prod. type
6. Mode
7. Origin
8. Import number
9. Date removed
10. Shipping doc. no.
11. Terminal control number 12. Invoiced gallons
13. Bulk plant name and address
1. Transporter name
2. Transporter taxpayer number
3. Seller name
4. Seller taxpayer number
5. Prod. type
6. Mode
7. Origin
8. Import number
9. Date removed
10. Shipping doc. no.
11. Terminal control number 12. Invoiced gallons
13. Bulk plant name and address
1. Transporter name
2. Transporter taxpayer number
3. Seller name
4. Seller taxpayer number
5. Prod. type
6. Mode
7. Origin
8. Import number
9. Date removed
10. Shipping doc. no.
11. Terminal control number 12. Invoiced gallons
13. Bulk plant name and address
1. Transporter name
2. Transporter taxpayer number
3. Seller name
4. Seller taxpayer number
5. Prod. type
6. Mode
7. Origin
8. Import number
9. Date removed
10. Shipping doc. no.
11. Terminal control number 12. Invoiced gallons
13. Bulk plant name and address
1. Transporter name
2. Transporter taxpayer number
3. Seller name
4. Seller taxpayer number
5. Prod. type
6. Mode
7. Origin
8. Import number
9. Date removed
10. Shipping doc. no.
11. Terminal control number 12. Invoiced gallons
13. Bulk plant name and address
1. Transporter name
2. Transporter taxpayer number
3. Seller name
4. Seller taxpayer number
5. Prod. type
6. Mode
7. Origin
8. Import number
9. Date removed
10. Shipping doc. no.
11. Terminal control number 12. Invoiced gallons
13. Bulk plant name and address
TOTAL INVOICED GALLONS
TOTAL INVOICED GALLONS
FOR ALL PAGES
(Sum of Item 12)
(Enter on Item 6 of
FOR THIS PAGE ONLY
Texas Fuels Tax Report, Form 06-168)
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