Form 173 - Report Of Fuel Sales Tax Prepayment And Environmental Protection Regulatory Fee For Refiners, Terminal Operators And Importers Page 2

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Environmental Protection Regulatory Fee Worksheet
Account for all gallons transacted during the period on this worksheet
1.
1. Total gallons imported, sold or consumed .................................................
2. Total gallons in line 1 upon which you paid this fee to your supplier .........
2.
3. Subtract line 2 from line 1 ...........................................................................................................................................
3.
4. Gallons in line 1 sold for export or exported by you ...................................... 4.
5. Gallons in line 1 sold to exempt public utilities .............................................. 5.
6. Add lines 4 and 5 ........................................................................................................................................................
6.
7. If line 6 is greater than line 3, subtract line 3 from line 6 ................................................................ Gallons for Credit
7.
8. If line 6 is less than line 3, subtract line 6 from line 3.
Write the number of gallons from line 7 or 8 on page 1, column C, line 1. ...................Gallons on Which Fee is Due
8.
9. Multiply either line 7 or line 8 by .00875. Enter amount due or (credit) on page 1, Column C, line 3 ........................
9.
Environmental Protection Regulatory Fee Worksheet
Account for all gallons transacted during the period on this worksheet
1.
1. Total gallons imported, sold or consumed .................................................
2. Total gallons in line 1 upon which you paid this fee to your supplier .........
2.
3. Subtract line 2 from line 1 ...........................................................................................................................................
3.
4. Gallons in line 1 sold for export or exported by you ...................................... 4.
5. Gallons in line 1 sold to exempt public utilities .............................................. 5.
6. Add lines 4 and 5 ........................................................................................................................................................
6.
7. If line 6 is greater than line 3, subtract line 3 from line 6 ................................................................ Gallons for Credit
7.
8. If line 6 is less than line 3, subtract line 6 from line 3.
Write the number of gallons from line 7 or 8 on page 1, column C, line 1. ...................Gallons on Which Fee is Due
8.
9. Multiply either line 7 or line 8 by .00875. Enter amount due or (credit) on page 1, Column C, line 3 ........................
9.
Environmental Protection Regulatory Fee Worksheet
Account for all gallons transacted during the period on this worksheet
1.
1. Total gallons imported, sold or consumed .................................................
2. Total gallons in line 1 upon which you paid this fee to your supplier .........
2.
3. Subtract line 2 from line 1 ...........................................................................................................................................
3.
4. Gallons in line 1 sold for export or exported by you ...................................... 4.
5. Gallons in line 1 sold to exempt public utilities .............................................. 5.
6. Add lines 4 and 5 ........................................................................................................................................................
6.
7. If line 6 is greater than line 3, subtract line 3 from line 6 ................................................................ Gallons for Credit
7.
8. If line 6 is less than line 3, subtract line 6 from line 3.
Write the number of gallons from line 7 or 8 on page 1, column C, line 1. ...................Gallons on Which Fee is Due
8.
9. Multiply either line 7 or line 8 by .00875. Enter amount due or (credit) on page 1, Column C, line 3 ........................
9.

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