Form L-2120 - Tankwagon Importer Schedule Of Disbursements

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1350
STATE OF SOUTH CAROLINA
L-2120
DEPARTMENT OF REVENUE
(Rev. 11/3/11)
TANKWAGON IMPORTER SCHEDULE OF DISBURSEMENTS
4208
Importer Name
License Number
FEIN
Month/Year
SCHEDULE TYPE (CIRCLE ONE)
PRODUCT TYPE (CIRCLE ONE AND ENTER % WHEN APPLICABLE)
065
Gasoline
072
Dyed Kerosene
D00
Dyed Biodiesel (100%)
5
Gallons Delivered Subject to User Fee
122
Blend Components
130
Jet Fuel
B01-B99
Undyed Biodiesel
6-F
Gallons Sold - Dyed Diesel and Heating Fuel
125
Aviation Gasoline
142
Kerosene
Blend (%
)
8
Gallons Sold To The US Government
E00
Fuel Grade Ethanol (100%)
167
Low Sulfur Undyed Diesel
D01-D99
Dyed Biodiesel
9-C
Gallons Sold To SC Department of
E01-E99
Gasohol (%
)
226
High Sulfur Dyed Diesel
Blend (%
)
Education School Bus Program
227
Low Sulfur Dyed Diesel
092
Other/Substitute
10
Gallons Sold - Other Exempt Sales
B00
Undyed Biodiesel (100%)
Fuel (
)
1
2
3
4
5
6
7
8
9
Carrier
Carrier
Purchaser
Purchaser
Date
Document
Billed
Mode
Destination
Name
FEIN
Name
FEIN
Shipped
Number
Gallons

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