Form L-2110 - Motor Fuel Tankwagon Importers Monthly Return Page 7
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10INSTRUCTIONS FOR L-2111
TANKWAGON IMPORTER SCHEDULE OF RECEIPTS
Please note that the specific product code for biodiesel blends and gasohol must be indicated, i.e. E10-B20.
Complete a separate schedule for each schedule type and product type.
COLUMN 1 & 2: Carrier -
Enter the name of the company that transported the product from the terminal and the
federal identification number if available.
COLUMN 3:
Mode of Transport - Enter the mode of transport from the terminal. Use one of the following:
J
= Truck
PL = Pipeline
S
= Ship
ST = Stock Transfer
BA = Book Adjustment
B
=
Barge
R
= Rail
COLUMN 4:
Point of Origin/Destination - Enter the name of the state of origin and destination (abbreviations are
acceptable).
COLUMN 5:
Terminal Code - Enter the number issued by the federal government to identify the terminal from
which the product was exported.
COLUMN 6 & 7: Supplier - Enter the name of the company that removed the product from the terminal and the federal
identification number if available.
COLUMN 8:
Date Shipped - Enter the date the product was shipped from the terminal.
COLUMN 9:
Document Number - Enter the identifying number from the document issued at the terminal where the
product was removed over the rack.
COLUMN 10:
Billed Gallons - Enter the number of gallons billed to you. The total from column 10 will be the amount
you need to enter on the proper line on the user fee return.
44751014
L-2111 I
(Rev. 10/5/11) 4475
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