Form 06-149 - Texas Schedule Of Gallons Imported Texas Tax-Paid Page 2
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2Form 06-149(Back)(Rev.3-06/2)
TEXAS SCHEDULE OF GALLONS
IMPORTED TAX-PAID
(Item 6)
You have certain rights under Chapters 552 and 559, Government Code, to review, request, and correct information
we have on file about you. Contact us at the address or toll-free number listed on this form.
WHO MUST FILE
Every licensed supplier, permissive supplier, distributor, distributor/aviation fuel dealer, importer, or importer/dyed diesel fuel
bonded user that imports tax-paid motor fuel into Texas must file this schedule. Failure to file this schedule may result in collection
action as prescribed by Title 2 of the Tax Code.
FOR ASSISTANCE
For assistance with any Texas Fuels tax questions, please contact the Texas State Comptroller's Office at 1-800-252-1383
toll-free nationwide, or call 512-463-4600.
GENERAL INSTRUCTIONS
Please write only in white areas.
TYPE or PRINT all information
Complete all applicable items that are not preprinted.
If any preprinted information is not correct, mark out the incorrect item and write in the correct information.
ROUND ALL GALLONAGE FIGURES TO WHOLE GALLONS.
SPECIFIC INSTRUCTIONS
Item 1 - Enter the name of the transporter.
Item 2 - Enter the 11-digit taxpayer number of the transporter of the fuel.
Item 3 - Enter the name of the seller.
Item 4 - Enter the 11-digit taxpayer number of the seller of the fuel.
Item 5- Enter the three-digit product type.
065 - Gasoline
124 - Gasohol
142 - Clear Kerosene
125 - Aviation Gasoline
160 - Clear Diesel Fuel
130 - Jet Fuel
Item 6 - Enter a valid character for mode of transportation. Use one of the following:
J= Truck
S= Ship
R= Rail
BA= Book Adjustment
B= Barge
ST= Stationary Transfer
PL= Pipeline
Item 7 - Enter the 2-character standard state abbreviation of the state the fuel is being imported from. For example, AR for
Arkansas. If the point of origin is outside the United States, enter 'ZZ'.
Item 8 - Enter the Import Verification number received from our office on fuel transported into Texas by truck or rail. Import
numbers must be obtained within 72 hours of the date of the importation. Numbers can be obtained from our toll-free
Import Verification Number phone number 1-877-MPORT11 (1-877-676-7811). May be left blank if summarizing
transactions. See Item 10.
Item 9 - Enter the date, MM/DD/YY, as it appears on the Shipping Document/Bill of Lading. This is the date the fuel was
PHYSICALLY REMOVED from a terminal. May be left blank if summarizing transactions. See item #10.
Item 10 - Enter the Shipping Document/Bill of Lading number. This is the identifying number from the document issued at the
terminal when the product is removed. In the case of pipeline or barge movements, enter the pipeline or barge ticket
number. You may report the summary of multiple transactions when the transporter, product type, the seller, and the
terminal control number are the same. Enter the word 'SUM.' You must maintain detailed records of the transactions
reported as a summary.
Item 11 - Enter the terminal control number of the facility from which the fuel was removed.
Item 12 - Enter invoiced gallons. You may report the summary of multiple transactions. See item #10.
Item 13 - Enter the bulk plant name and physical address.
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