Looking for a New York State Tax Forms And Templates? Download it for free!

PT-106.1/201.1 (9/11) Page 3 of 3

Part 6 - Sales of railroad diesel

For each purchaser to whom you sold railroad diesel, enter the (1) date, (2) purchaser’s name and address, (3) the purchaser’s EIN, and

(4) number of gallons sold. Total the number of gallons shown in the Gallons column.

You must have Form PT-303, Railroad Exemption Certificate for Diesel Motor Fuel, on file to cover these sales.

Date

Name and address of purchaser

EIN

Product

Gallons

Code*

1 Total gallons ........................................................................................................................................................... 1

2 Gallons of non-highway B20

(enter here and on line 22, of either Form PT-106, for monthly filers, or Form PT-201, for

....................................................................................................................................................... 2

quarterly filers)

3 Other gallons

(subtract line 2 from line 1 and enter here and on line 23, of either Form PT-106, for monthly filers, or

.............................................................................................................................. 3

Form PT-201, for quarterly filers)

Part 7 - Sales or use of non-highway diesel motor fuel for farming

For each purchaser to whom you sold non-highway diesel motor fuel for farming, enter the (1) date, (2) purchaser’s name and address, (3) the

purchaser’s EIN, and (4) number of gallons sold. In column A, include only gallons sold that will be consumed directly and exclusively in the

production phase of farming. Include other gallons in column B.

You must have Form FT-1004, Certificate for Purchases of Non-Highway Diesel Motor Fuel or Residual Petroleum Product for Farmers and

Commercial Horse Boarding Operation, on file to cover these sales. If you are a farmer, also include gallons you used for farming.

Date

Name and address of purchaser

EIN

Product

Code*

Gallons used directly

Other

and exclusively in the

gallons

production phase

1 Total gallons used directly and exclusively in the production phase

(enter here and on

................. 1

line 9, of either Form PT-106, for monthly filers, or Form PT-201, for quarterly filers)

2 Total other gallons

........................................................................................................................... 2

(total column B)

3 Gallons of non-highway B20 included in column B

(enter here and include in gallons on line 20 of either Form PT-106,

................................................................................................. 3

for monthly filers, or Form PT-201, for quarterly filers)

4 Other gallons

(subtract line 3 from line 2; enter here and include in gallons on line 21 of either Form PT-106, for monthly

.................................................................................................................. 4

filers, or Form PT-201, for quarterly filers)

Form Pt-106.1/201.1 - Retailers Of Non-Highway Diesel Motor Fuel Only - Receipts And Sales Page 3

Related Articles

Related forms

Related Categories