Form R-5396 - Schedule J - Terminal Operator Schedule Of Disbursements

Download a blank fillable Form R-5396 - Schedule J - Terminal Operator Schedule Of Disbursements in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form R-5396 - Schedule J - Terminal Operator Schedule Of Disbursements with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

R-5396 (7/06)
Page_____ of _____
Schedule J
Terminal Operator Schedule of Disbursements
Company Name
LA Revenue Account Number
TCN
Type of Schedule
Product Type
Filing Period
Type of Schedule
Mode of Transport
Product Type (Only one product type per page)
26
Gallons removed from the terminal across the rack
B = Barge
PL = Pipeline
065 – Gasoline
130 – Jet Fuel
228 – Dyed Diesel
27
Gallons removed from the terminal as a bulk transfer
J = Truck
ST = Stationary Transfer
123 – Alcohol
072 – Dyed Kerosene
170 – Clear Biodiesel
R = Rail
BA = Book Adjustment
124 – Gasohol
142 – Clear Kerosene
171 – Dyed Biodiesel
125 – Aviation Gasoline
160 – Clear Diesel
Other ________________
S = Ship
(1)
(2)
(4)
(3)
(5)
(6)
Carrier
Position Holder
Doc.
Net
Number
Gallons
Date
Name
FEIN
Mode
Name
FEIN
Total

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 81-015 - Schedule Of Disbursements - Supplier, Restricted Supplier, Importer And Blender - Iowa Department Of Revenue And Finance Form 81-015 - Schedule Of Disbursements - Supplier, Restricted Supplier, Importer And Blender - Iowa Department Of Revenue And Finance Financial
Form 81-015a - Schedule Of Disbursements Supplier, Restrictive Supplier, Importer And Blender Form 81-015a - Schedule Of Disbursements Supplier, Restrictive Supplier, Importer And Blender Financial
Form Rpd-41306c - Schedule Of Disbursements Form Rpd-41306c - Schedule Of Disbursements Financial
Form 81-015a - Schedule Of Disbursements Supplier, Restrictive Supplier, Importer And Blender Form 81-015a - Schedule Of Disbursements Supplier, Restrictive Supplier, Importer And Blender Financial
Form 3784 - Supplier Schedule Of Disbursements Form 3784 - Supplier Schedule Of Disbursements Financial
Form 3749 - Importer Schedule Of Disbursements Form 3749 - Importer Schedule Of Disbursements Financial
Form 4124 - Blender Schedule Of Disbursements Form 4124 - Blender Schedule Of Disbursements Financial
Form R-10610 - Schedule Of Ad Valorem Tax Credit Claimed By Manufacturers, Distributors And Retailers For Ad Valorem Tax Paid On Inventory Or Natural Gas Form R-10610 - Schedule Of Ad Valorem Tax Credit Claimed By Manufacturers, Distributors And Retailers For Ad Valorem Tax Paid On Inventory Or Natural Gas Financial
Form R-10610 - Schedule Of Ad Valorem Tax Credit Claimed By Manufacturers, Distributors And Retailers For Ad Valorem Tax Paid On Inventory Form R-10610 - Schedule Of Ad Valorem Tax Credit Claimed By Manufacturers, Distributors And Retailers For Ad Valorem Tax Paid On Inventory Financial
Form R-10610 - Schedule Of Ad Valorem Tax Credit Claimed By Manufacturers, Distributors And Retailers For Ad Valorem Tax Paid On Inventory Form R-10610 - Schedule Of Ad Valorem Tax Credit Claimed By Manufacturers, Distributors And Retailers For Ad Valorem Tax Paid On Inventory Financial

Related Categories

Parent category: Financial
Download
Go