Form 105-30 - Exporter Schedule Of Exports

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Form 105-30
Revised 11-2013
DST - 202
State of Oklahoma
Schedule 7A/7B
Oklahoma Tax Commission
(11/13)
Exporter Schedule of Exports to the State of ___________________________
Exporter Name
FEIN
Month/Year
P
T
S
T
CHEDULE
YPE (Check One)
RODUCT
YPE (Check One)
160 Diesel Fuel - Undyed
065 Gasoline
123 Alcohol
170 Biodiesel - Undyed
7A
Gallons Removed OK Tax Free for Export
072 Kerosene - Dyed
125 Aviation Gasoline
171 Biodiesel - Dyed
To ___________________ by Exporter
079 E-85
130 Jet Fuel
228 Diesel Fuel - Dyed
7B
Gallons Removed OK Tax Paid for Export
122 Blending Material
142 Kerosene - Undyed
241 Ethanol
To ___________________ by Exporter
1
2
3
4
5
6
7
8
9
12
14
15
Point of
Carrier
Purchaser’s
Mode
Terminal
Supplier
Supplier
Date
Document
Billed
Sold
Carrier
Name
Code
Origin
Dest
Code
Name
FEIN
Shipped
Number
Gallons
To
FEIN
FEIN

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