Form Sft-3 Schedule E Part C - Nontaxable Sales And Transfers Outside Massachusetts

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Rev. 11/93
Form SFT-3
Massachusetts
Schedule E, Part C
Department of
Nontaxable Sales and Transfers Outside Massachusetts
Revenue
Submit in duplicate. Use separate sheets for each state.
Name of supplier
Federal Identification number
Transfers from Massachusetts to
Month of
Point of
Point of
Sold to
Number of gallons sold or
Name of carrier
origin
destination
(list own storage, if applicable)
transferred this month
Total
Note to Tax Administrator:
Instructions to Supplier:
Please contact the Massachusetts Department of Revenue if the above-mentioned
It is your responsibility to accurately report this gallonage to the above-mentioned
supplier did not report this gallonage per your regulations.
state. Failure to comply with this rule could result in additional tax due from the
above-mentioned state or the Massachusetts Department of Revenue.
11.2M 9/10 CPSERV3195OSD2011001
printed on recycled paper

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