Form Dst - 210 - Motor Fuel Occasional Importer Monthly Tax Calculation
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1
2105-13
State of Oklahoma
Oklahoma Tax Commission
Motor Fuel Occasional Importer
Monthly Tax Calculation
DST - 210
This report is due on the 27th of the following month.
(12/05)
Mail to:
Oklahoma Tax Commission
Audit Division - Motor Fuel Section
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
FEI Number
EFT
Name, Address, and Phone Number
Period Covered
Tax Calculation
1
Gasoline Tax Collected (line 15)
2
E85 Tax Collected (line 15)
3
Aviation Gasoline Tax Collected (line 15)
4
Less Credit (Ultimate Vendors or Credit Card Sales) (line 16)
5
Net Gasoline Tax Due
6
Penalty (10% of Total Tax if not paid within 15 days from the due date)
7
Interest (1.25% of Total Tax per month from the due date)
8
Previous Billings Due or Credits Due per attached letter (line 17)
9
TOTAL GASOLINE TAX DUE
MFG
10
Diesel Tax Collected (line 15)
11
Biodiesel Tax Collected (line 15)
12
Jet Fuel Tax Collected (line 15)
13
Less Credit (Ultimate Vendors or Credit Card Sales) (line 16)
14
Net Diesel Tax Due
15
Penalty (10% of Total Tax if not paid within 15 days from the due date)
16
Interest (1.25% of Total Tax per month from the due date)
17
Previous Billings Due or Credits Due per attached letter (line 17)
18
TOTAL DIESEL TAX DUE
MFD
19
TOTAL TAX DUE
(Total lines 9 and 18)
I/We declare under the penalties of perjury that this return including any accompanying schedules and statements has been
examined by me/us and to the best of my/our knowledge and belief is a true, correct and complete return made in good faith
for the taxable period stated, pursuant to existing laws requiring the filing of this return.
Official Title
Signature
The Oklahoma Tax Commission is not required to notify taxpayer of any change in state tax law
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