Form Pt-102 - Tax On Diesel Motor Fuel
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1
21115
PT-102
Department of Taxation and Finance
Tax on Diesel Motor Fuel
(11/15)
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-102-I) carefully. Keep a copy of this completed form for your records.
Be sure to complete page 2 of this form.
Inventory
Gallons
(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-102.1, Part 1)
................
2
3 Receipts in New York State from sources located within this state
(from Form PT-102.1, Part 2)
..................
3
4 Inventory gain/loss and casualty losses
(if loss, enter in brackets and subtract when computing line 5)
..............
4
5 Gallons available for sale or use
(add lines 1 through 4)
................................................................................
5
(gallons available at the end of the month) (this figure cannot be a negative amount - see instr.)
6 Closing inventory
.......
6
7 Total gallons to be accounted for
(subtract line 6 from line 5)
..........................................................................
7
Exempt sales and uses
8 Sales or use of non-highway diesel motor fuel for residential heating / cooling ............................................
8
9 This line intentionally left blank ....................................................................................................................
9
10 Sales or use of non-highway diesel motor fuel in manufacturing
(from Form PT-102.4, Part 2)
...................... 10
11 Sales of non-highway diesel motor fuel to exempt organizations not including sales for residential
(from Form PT-102.2, Part 2)
heating/cooling
............................................................................................... 11
12 Sales or use of non-highway diesel motor fuel for farming
(from Form PT-102.2, Part 5, line 1)
....................... 12
13 Sales of kero-jet fuel to airlines and self-use by airlines in aircraft
(You must also complete Form PT-104.
Do not transfer amounts from Form PT-104 to this line.)
................................................................................... 13
14 Sales of water-white kerosene to consumers or filling stations.................................................................... 14
15 Sales of kerosene that is non-highway diesel motor fuel (not included on lines 8 through 14);
for example, nonresidential heating or manufacturing.............................................................................. 15
16 Sales of certain untaxed highway diesel motor fuel, non-highway diesel motor fuel or untaxed qualified biodiesel, to
persons registered as a distributor of diesel motor fuel under Article 12-A
( from Form PT-102.2, Part 1b, Total gallons)
16
17 This line intentionally left blank .................................................................................................................... 17
18 This line intentionally left blank .................................................................................................................... 18
19 Transfers or sales out of New York State
(from Form PT-102.3, Part 1)
.......................................................... 19
20 Sales in New York State for immediate export
(from Form PT-102.3, Part 2)
................................................... 20
21 Exempt sales on Indian reservations
(from Form PT-102.2, Part 3)
................................................................. 21
22 Sales to New York State, its municipalities or to the U.S. government
(from Form PT-102.2, Part 4)
.............. 22
23 Diesel product compounded or blended with any product to produce No. 4 fuel oil or any other residual
petroleum product
(also include in line 4 of Form PT-103)
............................................................................. 23
24 Total exempt sales and uses
(add lines 8, 10 through 16, and 19 through 23)
................................................... 24
25 Taxable gallons to be accounted for
(subtract line 24 from line 7) ............................................................................
25
Special tax rates
Combined
A
B
Gallons
tax rate
Tax
$.041 = $
26 Sales or use of non-highway B20 for nonresidential heating / cooling
×
26
27 Sales or use of non-highway diesel motor fuel for nonresidential
$.052 = $
heating / cooling not including B20 and kerosene ...................... 27
×
28 This line intentionally left blank ...................................................
28
29 Sales to rate-regulated electric corporations (without a direct
$.168 = $
pay permit) for use in generating electricity for sale ................. 29
×
(continued)
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