Form Rpd-41307a - Rack Operator Schedule Of Disbursements
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1RPD-41307A
State of New Mexico - Taxation & Revenue Department
Rev. 03/08/2012
RACK OPERATOR SCHEDULE OF DISBURSEMENTS
Operator Name
FEIN
Terminal Code
Schedule Type
Month/Year
SCHEDULE TYPE:
PRODUCT TYPE (Check one box)
6
Gallons sold to registered distributors or suppliers and delivered in New Mexico
065 Gasoline
160 Diesel Fuel
6X
Gallons purchased through exchange agreements and sold
124 Gasohol
228 Diesel Fuel - Dye Added
7
Gallons exported directly outside of New Mexico
E00 Ethanol
170 Biodiesel Fuel
10
Gallons sold and shipped directly to registered Indian tribal distributors on Indian land
125 Aviation Gasoline
Other _______ (Enter the FTA Product Code from the instructions)
10A Gallons sold and shipped directly to other than registered Indian tribal distributors on Indian land
130 Jet Fuel
(1)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(2)
(3)
Purchaser's
Date
B O L
Net
Gross
Destination
Carrier Name
Carrier FEIN
Mode
Purchaser
FEIN
Shipped
Number
Gallons
Gallons
State
Total Net Gallons
Enter the sum of column (9).
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