Form 06-152 - Texas Schedule Of Blended Gallons Sold Page 2
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2Form 06-152(Back)(Rev.3-06/3)
TEXAS SCHEDULE OF
BLENDING GALLONS SOLD
(Item 10)
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, blender, exporter/blender, importer, or
importer/dyed diesel fuel bonded user that blends gasoline or diesel fuel for resale 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 purchaser.
Item 2 - Enter the 11-digit taxpayer number of the purchaser of the fuel.
Item 3 - Enter the three-digit product type.
065 - Gasoline
072 - Dyed Kerosene
124 - Gasohol
142 - Clear Kerosene
228 - Dyed Diesel Fuel
125 - Aviation Gasoline
160 - Clear Diesel Fuel
130 - Jet Fuel
Item 4 - 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 bulk plant. May be left blank if summarizing transactions. See item #5.
Item 5- Enter the Shipping Document/Bill of Lading number. This is the identifying number from the document issued at the
bulk plant 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 product type and the purchaser are the
same. Enter the word 'SUM.' You must maintain detailed records of the transactions reported as a summary.
Item 6 - Enter invoiced gallons. You may report the summary of multiple transactions. See item #5
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