Form Dst - 205 -

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105-22
DST - 205
State of Oklahoma
(12/05)
Oklahoma Tax Commission
Supplier/Permissive Supplier Schedule
of Terminal Rack Removals
Supplier Name
FEIN
Schedule Type
Month/Year
2
P
T
S
T
RODUCT
YPE (Check One)
CHEDULE
YPE (Check One)
6F
Dyed Diesel and Dyed Heating Fuel
171 Biodiesel -
065 Gasoline
125 Aviation Gasoline
3
Gallons Imported Tax Free by Supplier
Dyed
072 Kerosene - Dyed
130 Jet Fuel
5
Tax Paid Sales
6H
Removals Tax Free by _____ to Licensed Importer
5A
Taxable Sale (Non-eligible Purchaser)
(Name of Non-Permissive Supplier)
079 E-85
142 Kerosene - Undyed
228 Diesel Fuel -
5C
Taxable Sales (Eligible Purchaser)
7
Removals by Supplier for Export
Dyed
122 Blending Material
160 Diesel Fuel - Undyed
5E
Removals Tax Paid for Import by Importer
7A
Removals Tax Free to Licensed Exporter
123 Alcohol
170 Biodiesel - Undyed
241 Ethanol
5H
Removals Tax Paid for Export by Exporters
8
Removals for U.S. Government Sales
6C
Removals Tax Free to a Licensed Importer
10
Removals for Other Exempt Entities
2
3
4
5
7
8
9
10
11
12
1
6
Point of
Carrier
Mode
Terminal
Sold
Purchaser’s
Date
Document
Net
Gross
Billed
Carrier
Name
Code
Origin
Code
To
FEIN
Shipped
Number
Gallons
Gallons
Gallons
FEIN
Dest

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