Form St-101.10 - Annual Schedule Fr - Sales And Use Tax On Qualified Motor Fuel And Highway Diesel Motor Fuel - 2015

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Annual Schedule FR
New York State Department of Taxation and Finance
File as an attachment to Form ST-101
Sales and Use Tax
on Qualified Motor Fuel and
For tax period:
March 1, 2014, through February 28, 2015
Highway Diesel Motor Fuel
Include with
Due date:
Form ST-101
Friday, March 20, 2015
A15
Sales tax identification number
Legal name
(Print ID number and name as shown on Form ST-101 or Certificate of Authority)
Please see Form ST-101.10-I, Annual Schedule FR Instructions, before completing this schedule.
STEP 1 — Summary of gallons sold or used
Taxable gallons sold — Motor fuel
Nontaxable gallons sold or used
Taxable gallons sold or used
Highway diesel motor fuel
Regular
Mid-grade
Premium
Motor fuel
Highway diesel motor fuel
gal.
gal.
gal.
gal.
gal.
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 qualifed 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 F
Column B
Column E
Column D
Column A
Motor fuel
Cents-per-
=
Sales and use tax
Jurisdiction
Highway diesel motor fuel
+
×
Taxing jurisdiction
number of taxable gallons
(C + D) x E
gallon rate
code
number of taxable gallons
New York State only
NE R0018
.08
*New York State/MCTD
NE R8064
.0875
1
* The MCTD consists of New York City and the counties of Dutchess,
Nassau, Orange, Putnam, Rockland, Suffolk, and Westchester.
Column total (Step 3):
Enter this amount in
Step 5, in box 6.
STEP 3A — Calculate New York State/MCTD tax (cents-per-gallon rate) on B20 biodiesel only
Column C
Column E
Column D
Column B
Column A
Number of taxable
Sales and use tax
Jurisdiction
Cents-per-
Taxing jurisdiction
gallons of B20 biodiesel
(C x D)
gallon rate
code
New York State only
NE R0016
.06
New York State/MCTD
NE R8046
.066
2
Column total (Step 3A):
Enter this amount in
Step 5, in box 7.
STEP 4 — Calculate local sales tax by jurisdiction (cents-per-gallon rate)
Column C
Column A
Column B
Column D
Column E
Column F
Motor fuel
+
Highway diesel motor fuel
×
=
Taxing jurisdiction
Jurisdiction
Cents-per-
Sales and use tax
number of taxable gallons
code
number of taxable gallons
gallon rate
(C + D) x E
Seneca County
SE R4528
.08
3
Column total (Step 4):
Enter this amount in
Step 5, in box 8.
11000102150094
ST-101.10 (2/15)
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