Exporter Fuel Tax Schedule - Exports Of Petroleum Products Intended For Direct Delivery Outside Tennessee

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Exporter Fuel Tax Schedule - Exports of Petroleum Products Intended for Direct Delivery Outside Tennessee (Attach to PET 377)
Exporter Name:
FEIN:
Account Number:
Month of (MM-YY):
Schedule Type
Tennessee Department of Revenue
Schedule Type:
M O D E
Product Type (Circle One)
J TRUCK
1. Supports Line 1. Destination state tax-paid gallons
65 GASOLINE
142 KEROSENE
R RAIL
2. Supports Line 2. Tax-free gallons
122 BLENDING COMPONENTS (TRANSMIX)
160 UNDYED DIESEL
B BARGE
4. Supports Line 4. Tennessee tax-paid gallons
123 ALCOHOL
226 DIESEL (HIGH SULFUR DYED)
PL PIPELINE
124 GASOHOL
227 DIESEL (LOW SULFUR DYED)
B A BOOK ADJUSTMENT
125 AVIATION GASOLINE
____ OTHER (SEE ITA PRODUCT CODE LIST)
ST STOCK TRANSFER
130 JET FUEL
POINT OF
TERMINAL
PURCHASED
SHIPPING
CARRIER
CUSTOMER
S H I P
S A L E S
EXPORT
CODE #
FROM
PAPER #
CARRIER NAME
FEIN
MODE
ORIGIN
DESTINATION
SOLD TO:
FEIN #
DATE
DOCUMENT #
GALLONS
RV-F1401901
Total Gallons

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