Schedule Mf-R - Motor Fuels Tax Schedule Of Receipts

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Rev. 8/12
Schedule MF-R
Massachusetts
Motor Fuels Tax
Department of
Schedule of Receipts
Revenue
Name of licensee
Massachusetts license number
Federal Employer Identification number (FEIN)
Schedule type
Product code
Month
Schedule types
Product codes
1 Receipts from sources outside Massachusetts
054 Propane
130 Jet fuel
160 Undyed diesel
284 Biodiesel, undyed
2 Receipts from sources within Massachusetts
065 Gasoline
139 Gasohol 10%
224 Compressed natural gas (CNG)
3 Direct shipments to other states
072 Dyed kerosene
142 Undyed kerosene
225 Liquid natural gas (LNG)
4 Direct shipments to customers in Massachusetts
092 Other
150 #1 fuel oil
228 Dyed diesel
5 Other receipts
125 Aviation gas
152 Heating oil
241 Ethanol
1.
2.
3.
4.
5.
6.
7.
8.
9. Billed
10.
Carrier
Carrier
Mode of
Point of
Acquired
Seller’s
Date
Document
whole
Tax-free
name
FEIN
transport
Origin
Destination
from
FEIN
received
number
gallons
or tax-paid

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