Form 06-159 - Texas Schedule Of Gallons Sold Tax-Free To Exempt Entities Page 2
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2Form 06-159(Back)(Rev.8-09/4)
TEXAS SCHEDULE OF GALLONS SOLD
TAX-FREE TO EXEMPT ENTITIES
(Item 17)
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 phone number listed on this form.
WHO MUST FILE
All fuels tax license holders must report their tax-free sales of gasoline or diesel fuel to exempt entities on 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 (800) 252-1383 or
(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 purchaser.
Item 4 - Enter the taxpayer number or FEIN of the purchaser of the fuel.
Item 5 - Exempt Type
1 - US Government
2 - TX Public School or Commercial Transportation Company
3 - Non-Profit Electric/Telephone Cooperative
4 - Texas Volunteer Fire Department
Item 6 - 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 7 - 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 8 - 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 or bulk plant. May be left blank if summarizing transactions. See item #9.
Item 9 - Enter the Shipping Document/Bill of Lading number. This is the identifying number from the document issued at the
terminal or 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 transporter, product type, the
purchaser and the tax-paid indicator on item #11 are the same. Enter the word 'SUM.' You must maintain detailed
records of the transactions reported as a summary.
Item 10 - Enter invoiced gallons. You may report the summary of multiple transactions. See item #9.
Item 11 - Check the box if state motor fuels tax was previously paid on the motor fuel sold to an exempt entity.
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