Form Pda-46q - Petroleum Tax Credits

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PDA-46Q
Petroleum Tax Credits
Company name
Minnesota tax ID number
Address
Master jobber
City
State
Zip code
Check one (complete a separate PDA-46Q for each category):
Aviation gasoline
E-85 fuel
Gasoline sales to qualifying service station. Enter state:
(Complete a separate schedule for each state)
Sold to/Purchased from
Mailing address
Town delivered to
Date
Ticket number
Gallons
Total gallons
1 Evaporation and loss allowance (multiply total gallons by 2.5 percent [.025] ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Net gallons subject to rate reduction (subtract line 1 from total gallons)
Also enter the result on the space provided on Form PDA-46, line 17a or 17c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Tax rate reduction per gallon (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Tax adjustment (multiply lines 2 and 3). Enter the result here and on Form PDA-46, line 17a, 17b or 17c . . . . . . . . . . . 4 $
Website:
Email: petroleum.tax@state.mn.us
Phone: 651-296-0889 (TTY: Call 711 for Minnesota Relay)
(Rev. 3/13)

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