Form Dst - 205 - Supplier/permissive Supplier Schedule Of Tax-Paid Receipts

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105-23
DST - 205
State of Oklahoma
(12/05)
Oklahoma Tax Commission
Supplier/Permissive Supplier Schedule
of Tax-Paid Receipts
Supplier Name
FEIN
Schedule Type
Month/Year
1
S
T
P
T
CHEDULE
YPE (Check One)
RODUCT
YPE (Check One)
160 Diesel Fuel - Undyed
1A
Gallons Received Tax Paid (Terminal in Oklahoma)
065 Gasoline
123 Alcohol
170 Biodiesel - Undyed
072 Kerosene - Dyed
125 Aviation Gasoline
171 Biodiesel - Dyed
1B
Gallons Received Tax Paid (Terminal out of Oklahoma)
079 E-85
130 Jet Fuel
228 Diesel Fuel - Dyed
122 Blending Material
142 Kerosene - Undyed
241 Ethanol
4
1
2
3
5
6
7
8
9
10
11
Point of
Carrier
Mode
Seller
Seller’s
Date
Document
Net
Gross
Billed
Carrier
Name
Code
Origin
Name
FEIN
Shipped
Number
Gallons
Gallons
Gallons
Dest
FEIN

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