Form St-100.10 - Quarterly Schedule Fr - Sales And Use Tax On Qualified Motor Fuel And Highway Diesel Motor Fuel - 2015

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Quarterly Schedule FR

Department of Taxation and Finance

Sales and Use Tax on

File as an attachment to Form ST-100

Qualified Motor Fuel and

For 3rd quarter tax period:

September 1, 2015, through November 30, 2015

Highway Diesel Motor Fuel

Include with

Due date:

Monday, December 21, 2015

Form ST-100

316

Sales tax identification number

Legal name

(Print ID number and name as shown on Form ST-100 or Certificate of Authority)

Please see Form ST-100.10-I, Quarterly Schedule FR Instructions, before completing this schedule.

STEP 1 – Summary of gallons sold or used

Taxable gallons sold or used — Motor fuel

Nontaxable gallons sold or used

Taxable gallons sold or used

Regular

Mid-grade

Premium

Motor fuel

Highway diesel motor fuel

gal.

Gross sales of motor fuel and highway diesel motor fuel

STEP 2 – Summary of gross sales and total credits

including exempt sales..............................................................

.00

Total credits against tax on motor fuel and highway diesel motor fuel (except prepaid credits). See instructions for additional information. ....................................

If you made taxable sales or uses of qualified fuel during this period, you must complete Step 3 to report the New York State (and

MCTD, if applicable) portion of the sales tax due. Report the local taxes due in Steps 4 or 5, as applicable. (Sales and uses of B20

biodiesel are reported in Steps 3A, 4A, and 5.)

STEP 3 – Calculate New York State/MCTD tax (cents-per-gallon rate)

Column C

Column D

Column F

Column B

Column E

Column A

Motor fuel

Highway diesel motor fuel