Form Pt-102.2 - Diesel Motor Fuel Nontaxable Sales

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PT-102.2
New York State Department of Taxation and Finance
Diesel Motor Fuel Nontaxable Sales
(1/14)
Read instructions (Form PT-102-I) carefully. Keep a copy of this completed form for your records.
Name of distributor
Federal employer identification number (EIN)
Month/year
Part 1a — Sales of non-highway diesel motor fuel or untaxed qualified biodiesel to persons registered as a distributor of diesel motor fuel under Article 12-A
Date
Mode of
Carrier’s name
Purchaser’s name
Origin
Destination
Manifest
Gallons
Product
shipped
delivery
and EIN
and EIN
terminal control
terminal control
number
code*
number or
number or
(city, state)
(city, state)
Total gallons
.........................................................................................................................................................
(enter here and in Part 1b, Total gallons from Part 1a)
Part 1b — Sales of untaxed highway diesel motor fuel delivered by pipeline, railcar, barge, tanker (ship), or other marine vessel to a terminal of a registered/licensed
operator, or sold within a terminal of a registered/licensed operator, where it was delivered
Date
Mode of
Carrier’s name
Purchaser’s name
Origin
Destination
Manifest
Gallons
Product
shipped
delivery
and EIN
and EIN
terminal control
terminal control
number
code*
number or
number or
(city, state)
(city, state)
Total gallons from Part 1a ................................................................................................................................................................................................................
Total gallons
.......................................................................................................................................
(total the amounts above; enter here and on Form PT-102, line 16)
*From Publication 902, Product Codes for Fuels.

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