Form Pt-103 - Tax On Residual Petroleum Product Businesses printable pdf download

1115

PT-103

Department of Taxation and Finance

Tax on Residual Petroleum

(11/15)

Product Businesses

Tax Law – Article 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-103-I) carefully. Keep a copy of this completed form for your records.

Inventory

Gallons

...................................................................

1 Opening inventory

(gallons available at the beginning of the month)

2 Receipts in New York State from sources located outside this state

.................

(from Form PT-103.1, Part 1)

3 Receipts in New York State from sources located within this state

...................

(from Form PT-103.1, Part 2)

.....................................................................................................

4 Other receipts

(from Form PT-103.1, Part 3)

5 Inventory gain/loss and casualty losses

.............

(if a loss, enter in brackets and subtract when computing line 6)

6 Gallons available for sale or use

..................................................................................

(add lines 1 through 5)

.............................................................................

7 Closing inventory

(gallons available at the end of the month)

8 Total gallons to be accounted for

...........................................................................

(subtract line 7 from line 6)

Exempt sales and uses

9 Sales to registered residual petroleum product businesses

...............................

(from Form PT-103.1, Part 4)

10 Sales to New York State, its municipalities or to the U.S. government

............... 10

(from Form PT-103.1, Part 5)

11 Sales to exempt organizations

............................................................................ 11

(from Form PT-103.1, Part 6)

12 Transfers or sales out of New York State

............................................................ 12

(from Form PT-103.2, Part 1)

13 Sales in New York State for immediate export

.................................................... 13

(from Form PT-103.2, Part 2)

14 Sales or use for residential heating/cooling................................................................................................... 14

15 Sales or use as bunker fuel in vessels

................................................................ 15

(from Form PT-103.3, Part 1)

16 Sales or use in manufacturing

............................................................................. 16

(from Form PT-103.3, Part 2)

17 Tax-paid purchases by electric corporations for self-use by residual petroleum product businesses .......... 17

18 Sales or use for farming

............................................................................. 18

(from Form PT-103.3, Part 3, line 1)

19 Total exempt sales and uses

...................................................................................... 19

(add lines 9 through 18)

Petroleum

business

Taxable gallons

Gallons

Tax

tax rate

20 Taxable gallons to be accounted for

(subtract line 19 from line 8 and

..................................................................................... 20

enter in column A)

Taxable sales and uses

$.040

21 Sales or use for nonresidential heating/cooling.......................................... 21

22 Sales to rate-regulated electric corporations (without a direct pay permit)

$.145

for use in generating electricity for sale .................................................. 22

23 Taxable sales

............................................. 23

(add lines 21 and 22 in column A)

24 Other taxable sales and uses of residual petroleum product

(subtract line 23

$.074

from line 20 in column A; multiply by the tax rate and enter the result in column B)

25 Tax due before adjustments

................ 25

(add lines 21, 22, and 24 in column B)

Adjustments

26 Adjustments

(enter the net gallon adjustment in column A and the tax adjustment

Explain:

result in column B)

Balance due/credit

27 Total tax/credit due

.................................................................. 27 $

(line 25 and add or subtract line 26 in column B)

Transfer the amount on line 27 to Form PT-100, Petroleum Business Tax Return, line 3.

Rate-per-gallon explanation chart

.040 - includes the rate for the petroleum business tax at the

nonresidential heating rate only

.074 - includes the rate for the petroleum business tax at the

commercial gallonage rate only

.145 - includes the full rate for the petroleum business tax only

Attach this form to New York State Form PT-100, Petroleum Business Tax Return.

Form Pt-103 - Tax On Residual Petroleum Product Businesses

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