Form Rev-1096-I - Instructions For Completing Liquid Fuels And Fuels Tax Reports (Page 2 of 2) in pdf

Form Rev-1096-I - Instructions For Completing Liquid Fuels And Fuels Tax Reports Page 2

REV-1096-I MF (01-13)

16. Apportioned Discount:

Alternative Fuel Taxes. The amount of credit will equal the

credit available and requested to offset the amount due.

a. Multiply 16E by 15A. Enter the result on 16A.

Submit REV-33, Authorized Credit Adjustment.

b. Multiply 16E by 15B. Enter the result on 16B.

22. Amount Remitted: Enter the amount of your remittance.

c. Multiply 16E by 15C. Enter the result on 16C.

Department regulations require payments of $10,000 or

more be made via electronic funds transfer (EFT). If your

d. Multiply 16E by 15D. Enter the result on 16D.

remittance is being submitted via EFT, mark the EFT block

The total of 16A, B, C and D must equal 16E.

accordingly. Failure to pay by EFT, as required, will result

in a penalty assessment of $500 for each occurrence. For

17. Net Excise Tax Due: Subtract the discount from the gross

payments of less than $10,000, checks should be made

excise tax due (Line 14 minus Line 16), for Columns A, B,

payable to the PA Department of Revenue.

C, D and E.

Mail report (REV-1096A), receipts and disbursements

18. Oil franchise tax rates are shown in Columns A and B.

summary (REV-1096B) and appropriate schedules with

19. Oil Franchise Tax Due: Multiply net taxable gallons from

remittance, on or before the 20th day of each month to:

Line 12, Column A by the tax rate shown on Line 18,

PA Department of Revenue

Column A. Multiply net taxable gallons from Line 12,

Bureau of Imaging and Document Management

Column B by the tax rate shown on Line 18, Column B.

PO Box 280409

Add Lines 19A and 19B and enter total on 19E.

Harrisburg, PA 17128-0409

20. Total Excise and Oil Franchise Tax Due: For Column E,

NOTE: When the 20th of a month is on a weekend or state

enter the sum of Lines 17E and 19E.

holiday, the due date becomes the next business day.

21. Authorized Adjustments: Enter credit authorized by the

PA Department of Revenue, Bureau of Motor and

Call 1-800-482-4382 with questions about this report.

Form Rev-1096-I - Instructions For Completing Liquid Fuels And Fuels Tax Reports Page 2