Form 06-161 - Texas Schedule Of State Diversions Of Undyed Diesel Fuel/gasoline Page 2
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2Form 06-161(Back)(Rev.3-06/2)
TEXAS SCHEDULE OF STATE DIVERSIONS OF
UNDYED DIESEL FUEL/GASOLINE
(Item 21)
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, importer/dyed diesel fuel bonded
user, exporter, or exporter/blender who have diverted the delivery by truck or rail of gasoline or diesel fuel from the original
destination state printed on the shipping document/bill of lading to another state must file this schedule. Failure to file this schedule
on or before the 25th day of the month following the month of the diversion may result in collection actions 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
Enter the name of the transporter if transported by truck or rail.
Item 1 -
Item 2 -
Enter the 11-digit taxpayer number of the transporter of the fuel, if transported by truck or rail. May be left blank if
transported in your own cargo tank.
Enter the purchaser's name.
Item 3 -
Enter the purchaser's taxpayer number or FEIN.
Item 4 -
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
R = Rail
Item 7 - Enter the 2-character abbreviation of the original destination state preprinted on the shipping document/bill of lading.
Example: AR for Arkansas. If the original point of destination is outside of the United States, enter 'ZZ'.
Item 8 - Enter the 2-character abbreviation of the state the fuel was actually delivered. Example: OK for Oklahoma. If the
actual point of delivery is outside the United States, enter 'ZZ'.
Item 9 - Enter the diversion correction number received from the Comptroller's office. A diversion correction number must be
obtained within 72 hours of the diversion. Diversion correction numbers can be obtained from our toll-free phone
number 1-877-XPORT00 (877-976-7800).
Enter the date, MM/DD/YY, the fuel was PHYSICALLY REMOVED from the terminal or bulk plant as it appears on the
Item 10 -
shipping document/bill of lading.
Item 11 -
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.
Item 12 -
Enter the terminal control number of the facility the fuel was removed. May be left blank if the fuel was removed from
a non-IRS registered bulk plant.
Item 13 - Enter invoiced gallons.
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