KANSAS DEPARTMENT OF REVENUE
CUSTOMER RELATIONS
915 S.W. HARRISON ST.
TOPEKA, KANSAS 66625-8000
Phone Number: (785) 368-8222
Fax: (785) 296-4993
KANSAS QUALIFIED BIODIESEL FUEL PRODUCERS REPORT
NOTICE: This report must be filed within
30 days from the quarter end date.
1. Beginning inventory of biodiesel (B100) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ______________
2. Biodiesel produced (Attach Schedule I, MF-182) . . . . . . . . . . . . . . . . . . . . . . . . . . . ______________
3. Total inventory and biodiesel produced (Total of lines 1 & 2) . . . . . . . . . . . . . . . . . ______________
4.
Gallons of biodiesel sold to terminals, licensed distributors/
importers/exporters (Attach Schedule II, MF-183). . . . . . . . . . . . . . .________________
5.
Gallons of biodiesel sold to retail stations, unlicensed distributors/
importers/exporters, end consumers (Attach Schedule III, MF-184). .________________
6. Total gallons of biodiesel sold (Total of lines 4 & 5) . . . . . . . . . . . . . . . . . . . . . . . . ______________
7. Inventory adjustment (includes personal use, loss due to theft,
inventory loss or gain, destroyed biodiesel) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ______________
8. Ending inventory of biosiesel (B100) (Line 3 minus line 6 minus line 7) . . . . . . . . ______________
9. Biodiesel incentive of $.30 per gallon claimed on biodiesel gallons sold
(Line 6 x $.30). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ______________
I certify that all information in this report and attached supporting schedules to the best of my knowledge
is true, correct and complete for the time period stated.
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Date
Signature of Authorized Person
Title
Telephone Number
MF-181
Rev. (2/07)