Distributors Schedule Of Tax-Free Sales - Alabama Department Of Revenue

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SUBT: SOS
A
D
R
LABAMA
EPARTMENT OF
EVENUE
10/2011
B
L
T
D
USINESS AND
ICENSE
AX
IVISION
Reset
M
F
S
OTOR
UELS
ECTION
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608
Distributors Schedule of Tax-Free Sales
COMPANY NAME:
LICENSE NUMBER:
FEIN:
SCHEDULE TYPE:
MONTH / YEAR:
1
SCHEDULE TYPE:
PRODUCT TYPE:
1. Gallons sold to licensed fuel distributor tax not collected.
065 Gasoline
E00 Ethanol (100%)
170 Biodiesel Undyed
124 Gasohol
126 Naptha
171 Biodiesel Dyed
125 Aviation Gas
160 Diesel Undyed
225 Liquid Natural Gas
130 Jet Fuel
228 Diesel Dyed
________ Other (See FTA Product Code List)
(4)
(1)
(2)
(3)
(5)
(6)
(7)
(8)
(9)
(10)
POINT OF
CARRIER
PURCHASER’S
PRODUCT
DATE
DOCUMENT
NET
ORIGIN DESTINATION
LICENSE NO.
CARRIER NAME
FEIN
MODE
PURCHASER
TYPE
SHIPPED
NUMBER
GALLONS
STATE
STATE
TOTAL . . . . . . . . . . .

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