Form 72a099 - Transporter'S Report Delivery Schedule Page 2
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1
2COLUMN INSTRUCTIONS
Product Codes:
Enter the appropriate code on page 1. See the Kentucky Revenue Web site for a list of products codes:
business/motorfuels.htm
Columns (1) and (2)
Person Hiring the Carrier—Enter the name and FEIN of the company that hired the carrier.
Columns (3) and (4)
Seller—Enter the name and FEIN of the company from whose account the fuel was withdrawn at the terminal.
Column (5)
Mode of Transport—Enter one of the following:
J–Truck
R–Rail
B–Barge
PL–Pipeline
Column (6)
Origin—Enter the city and state shown on the delivery document (bill of lading, manifest or other loading document
issued by the terminal operator) where the petroleum product was loaded for each delivery. If the product was loaded at
a terminal, enter the uniform terminal code assigned to such terminal.
Columns (7), (8), and (9)
Delivered to—Enter the name, address and FEIN of the final delivery point. If delivered to a terminal, enter the terminal
code for that terminal.
Column (10)
Date Delivered—Enter the date the petroleum product was delivered for each delivery (MM DD YY).
Column (11)
Document Number—Enter the identifying number from the document issued at the terminal when product is removed
over the rack. In the case of pipeline or barge movements, enter the pipeline or barge ticket number.
Columns (12) and (13)
Gallons—Enter the number of gross and net gallons delivered for each delivery.
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Parent category: Financial