Form L-2098 - Motor Fuel Terminal Operator Monthly Return (Page 6 of 9) in pdf

Form L-2098 - Motor Fuel Terminal Operator Monthly Return Page 6

SCHEDULE 15 A

TERMINAL OPERATOR SCHEDULE OF RECEIPTS

List each receipt of accountable product received into the terminal. Complete a separate schedule for each product type.

Please list all receipts in alphabetical order by Position Holder.

TERMINAL NAME AND TERMINAL FEIN

Enter the name and Federal Identification Number for the terminal operator shown on the terminal return.

TERMINAL CODE

Number issued by the Internal Revenue Service to identify the terminal in the bulk transfer/terminal distribution

system.

COLUMN 1 & 2:

Carrier - Enter the name of the company that transports the product into the terminal and the Federal

Identification number if available.

COLUMN 3:

Mode of Transport - Enter the mode of transport into the terminal. Use one of the following:

= Truck

= Rail

B = Barge

= Ship

PL = Pipeline

BA = Book Adjustment

ST = Stock Transfer

COLUMN 4 & 5

Position Holder - Enter the name of the company that owns the product as reflected on the records of

the terminal operator and the Federal Identification Number if available.

COLUMN 6:

Date Received - Enter the date on which the product was received into the terminal.

COLUMN 7:

Document Number - Enter the identifying number from the document issued at the terminal where

product is removed over the rack. In the case of pipeline or barge movements, enter the pipeline or

barge ticket number.

COLUMN 8:

Net Gallons - Enter the net amount of gallons received into the terminal. The total of all amounts

entered in this column should agree to the amount shown for receipts on the terminal return.

44651016

L-2099 I

(Rev. 9/16/11)

4465

Form L-2098 - Motor Fuel Terminal Operator Monthly Return Page 6