Form Sft-3 Schedule Lg - Liquified Gases Only Page 3

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Schedule H. Taxable Gallons Sold to Other Users.

Fuel placed in registered motor vehicles only.

Total gallons

Name of purchaser(s)

Address(es)

for month

Total taxable gallons. Enter here and on Schedule LG, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedule I. Taxable Gallons Sold to User–Sellers.

Bulk sales. List each transaction separately.

Date of

License

Delivery address (if more than one,

sale

To whom sold

number

location list each location separately)

Gallons

Total taxable gallons. Enter here and on Schedule LG, line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .