Form Sft-3 Schedule Lg - Liquified Gases Only Page 4

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Schedule J. Non-Taxable Gallons Sold or Used.*

Non-registered equipment.

A Own use (specify use and/or type of machine using fuel):

Gallons

Total gallons used (Part A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

B Sales to others

Names

Addresses

Gallons

Total gallons sold (Part B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total non-taxable gallons. Add Parts A and B. Enter here and on Schedule LG, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

*May be subject to sales and/or use tax under the provisions of Massachusetts General Laws, Chapter 64H and I.

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