Form Ex-2-1 - Exporter'S Schedule Of Receipts Page 2

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EX 2-1
Instructions for Exporter’s Schedule of Disbursements
Rev. 4/09
Page 2
This schedule provides detail in support of the amount(s) shown as disbursements
Column Instructions
on the exporter’s reconciliation reports.
Column 1
Enter the name of the company that transports the fuel.
Each disbursement of fuel must be listed on a separate line.
Column 2
Enter the FEIN of the company that transports the fuel.
Like purchasers should be grouped together and a gallonage subtotal by purchaser
Column 3
Enter the mode of transport. Use one of the following letters: J=Truck;
must be provided.
R=Rail; B=Barge; P=Pipeline; S=Ship
Insert in the appropriate box your company name, FEIN and month and year of the
Column 4
Provide the city and state of origin.
report.
Column 5
Enter the name of the Ohio licensed dealer you acquired the fuel
Exporter Type
from.
Place a check mark next to the type of exporter license you have.
Column 6
Enter the seller’s FEIN.
Product Type
Column 7
Enter the date the fuel was received.
On the face of the schedule, place a check mark next to the product type being
Column 8
Enter the document number identifying the fuel. In the case of fuel
reported on the schedule. IMPORTANT – All No. 1 distillate products that are
received from a terminal, use the bill of lading (shipping document)
“dyed,” regardless of their name, are to be reported under product code No. 226
number. For fuel disbursed from a bulk plant, use the invoice number.
(high sulfur diesel-dyed) or No. 227 (low sulfur diesel-dyed). All No. 1 distillate
products that are “undyed” (this includes AVJET fuel), regardless of their name,
Column 9
Enter the gross gallons received.
are to be reported under product code 142 (kerosene). You must file a separate
schedule for each product type.

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