Form 06-172 - Texas Schedule Of Gallons Removed From Irs Registered Terminal - Texas Tax Paid

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06-172
-- AMENDED --
(Rev.3-06/3)
PRINT
b.
<choose one>
a.
DO NOT WRITE IN SHADED AREAS
TYPE or PRINT
TEXAS SCHEDULE OF GALLONS REMOVED
c. Taxpayer number
d. Filing period
FROM IRS REGISTERED TERMINAL -
TEXAS TAX PAID
(Item 2)
f.
e. Taxpayer name
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Seller name
4. Seller taxpayer number
5. Product type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Seller name
4. Seller taxpayer number
5. Product type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Seller name
4. Seller taxpayer number
5. Product type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Seller name
4. Seller taxpayer number
5. Product type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
LOCATOR NUMBER
1. Transporter name
2. Transporter taxpayer number
3. Seller name
4. Seller taxpayer number
5. Product type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Seller name
4. Seller taxpayer number
5. Product type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Seller name
4. Seller taxpayer number
5. Product type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
TOTAL INVOICED GALLONS
(Sum of Item 10)
FOR THIS PAGE ONLY

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Related Categories

Parent category: Financial
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