Form M-20a - Monthly Return Of Liquid Fuel Tax (State And County) And Environmental Response, Energy, And Food Security Tax Page 4

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FORM M-20A (REV. 2015)
PAGE 4
Name
Permit Number
Month Ending
__ __ / __ __
(MM/YY)
PART IV
SUMMARY OF SALES IN GALLONS
—
FBF154
(a)
(b)
(c)
(d)
(e) Add cols. a to d
On Highway Diesel Oil and Liquid Fuel
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
CITY & COUNTY
(Gallons)
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Deduction for retail sales from Form M-2
4. Add lines 2 and 3
5. Taxable sales (Line 1 minus line 4)
Note: Taxable sales (line 5) should be the same amount entered in Part I, line 3.
(a)
(b)
(c)
(d)
(e) Add cols. a to d
On Highway - Alternative Fuel
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
(Gallons)
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Deduction for retail sales from Form M-2
4. Add lines 2 and 3
5. Taxable sales (Line 1 minus line 4)
Note: Taxable sales (line 5) should be the same as the total of the amounts entered in Part I, lines 6, 9, 12, 15, 18, 21, and 24.
(a)
(b)
(c)
(d)
(e) Add cols. a to d
Off Highway Aviation, Diesel Oil, and Naphtha
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
(Gallons)
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Deduction for retail sales from Form M-2
4. Add lines 2 and 3
5. Taxable sales (Line 1 minus line 4)
Note: Taxable sales (line 5) should be the same amount entered in Part I, lines 29 and 32.
(a)
(b)
(c)
(d)
(e) Add cols. a to d
Small Boats - Diesel Oil
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
(Gallons)
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Deduction for retail sales from Form M-2
3. Taxable sales (Line 1 minus line 2)
Note: Taxable sales (line 3) should be the same amount entered in Part I, line 35.
(a)
(b)
(c)
(d)
(e) Add cols. a to d
Small Boats - Gasoline
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
(Gallons)
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Deduction for retail sales from Form M-2
3. Taxable sales (Line 1 minus line 2)
Note: Taxable sales (line 3) should be the same amount entered in Part I, line 38.
(a)
(b)
(c)
(d)
(e) Add cols. a to d
Off Highway Alternative Fuel
CITY & COUNTY
COUNTY OF MAUI
COUNTY OF
COUNTY OF KAUAI
TOTAL OF ALL
(Gallons)
OF HONOLULU
HAWAII
COUNTIES
1. Total sales
2. Exempt sales
3. Net sales (Line 1 minus line 2)
FORM M-20A
Note: Net sales (line 3) is not taxable pursuant to section 243-4(c)(3), HRS.

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