Form Dst - 210 - Schedule 1 - Occasional Importer Schedule Of Receipts
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1
2105-20
State of Oklahoma
DST - 210
Oklahoma Tax Commission
Schedule 1
Occasional Importer Schedule of Receipts
(12-05)
Importer Name
FEIN
Month/Year
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
1B Gallons Received Tax Paid (Terminal out of Oklahoma)
171
Biodiesel - Dyed
072
Kerosene - Dyed
125
Aviation Gasoline
1C Gallons Received Tax Paid on Voucher
079
E-85
130
Jet Fuel
228
Diesel Fuel - Dyed
3A Gallons Imported Tax Free or by Tankwagon From _______
122
Blending Material
142
Kerosene - Undyed
241
Ethanol
1
2
3
4
5
6
7
8
9
12
13
Point of
Carrier
Mode
Terminal
Supplier
Supplier
Document
Billed
Import
Carrier
Date
Name
Code
Origin
Code
Name
FEIN
Number
Gallons
Verification Number
Dest
FEIN
Shipped
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