Form Pt-101 - Tax On Motor Fuel (Includes Aviation Gasoline)

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1115
PT-101
Department of Taxation and Finance
Tax on Motor Fuel
(11/15)
(Includes Aviation Gasoline)
Tax Law – Articles 12-A and 13-A
Use this form to report transactions for the month of November 2015.
Federal employer identification number (EIN)
Legal name
Read instructions (Form PT-101-I) carefully. Keep a copy of this completed form for your records.
A
B
Inventory
Gallons
Gallons for
accountability
tax computation
(this figure cannot be a negative amount)
1 Opening inventory
............................................
1
2 Receipts in New York State from sources located outside this state
(from Form PT-101.1, Part 1)
2
3 Receipts in New York State from sources located within this state
(from Form PT-101.1, Part 2)
3
(if loss, enter in brackets and subtract when
4 Inventory gain/loss and casualty losses
computing lines 5 and 8)
..............................................................................................
4
5 Gallons available for sale or use
(add lines 1 through 4 in column A)
..............................
5
(gallons available at the end of the month) (this figure cannot be a
6 Closing inventory
negative amount - see instructions)
...............................................................................
6
7 Total gallons to be accounted for
(subtract line 6 from line 5)
.........................................
7
(add lines 2 through 4 in column B)
8 Total gallons received during the month
...................
8
Exempt sales and uses
9 Transfers or sales out of New York State
(from Form PT-101.2, Part 1)
............................................................
9
10 Sales in New York State for immediate export
(from Form PT-101.2, Part 2)
......................................................... 10
(add lines 9 and 10)
11 Total exempt sales and uses
........................................................................................... 11
12 Taxable gallons to be accounted for
(subtract line 11 from line 8; enter here and on line 13, column A (on page 2))
12
(continued)

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