Schedule Mf-D - Motor Fuels Tax Schedule Of Disbursements - 2012

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Rev. 8/12
Schedule MF-D
Massachusetts
Motor Fuels Tax
Department of
Schedule of Disbursements
Revenue
Name of licensee
Massachusetts license number
Federal Employer Identification number (FEIN)
Schedule type
Product code
Month
Schedule types
Product codes
6 Sales and transfers out of Massachusetts
054 Propane
139 Gasohol 10%
224 Compressed natural gas (CNG)
7 Sales to licensed exporters
065 Gasoline
142 Undyed kerosene
225 Liquid natural gas (LNG)
8 Sales to licensed distributors in Massachusetts
072 Dyed kerosene
150 #1 fuel oil
228 Dyed diesel
9 Sales to U.S. Government (under contract)
092 Other
152 Heating oil
241 Ethanol
10 Other non-taxable distribution
125 Aviation gas
160 Undyed diesel
284 Biodiesel, undyed
11 U.S. Governmental and foreign consulates
130 Jet fuel
1.
2.
3.
4.
5.
6. Pur-
7.
8.
9. Billed
Carrier
Carrier
Mode of
Point of
chaser’s
Date
Document
whole
name
FEIN
transport
Origin
Destination
Sold to
FEIN
sold
number
gallons

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