Form 66-101 - Texas Coastal Protection Fee Report - Supplement
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1
266-101
(Rev.3-02/3)
b.
TEXAS COASTAL PROTECTION FEE REPORT - SUPPLEMENT
Use this form to identify owners who paid the Coastal Protection Fee on oil
transferred through YOUR terminal. USE A SEPARATE PAGE FOR EACH TERMINAL.
DO NOT WRITE IN SHADED AREAS
ENTER WHOLE BARRELS ONLY
e.
f. Due date
d. Filing period
c. Fee payer number
g. Fee payer name
1.
Terminal identification (Same as Item 2 on the report form)
3. NUMBER OF BARRELS
2. NAME(S) OF OWNER(S) PAYING COASTAL PROTECTION FEE
TRANSFERRED
4. TOTAL NUMBER OF BARRELS TRANSFERRED
(Should equal the amount in Item 5 of the report for this terminal and this period)
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