Form 3716 - Terminal Operator Monthly Report Page 2

Download a blank fillable Form 3716 - Terminal Operator Monthly Report in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 3716 - Terminal Operator Monthly Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

100-TOR

Form 3716, Page 2

Instructions for Form 3716, Terminal Operator Monthly Report

This report must be filed by the 20th day of the month following the end of the report period by all terminals in Michigan and out-of-state terminals who disburse fuel with a Michigan

desination. A separate report must be filed for each terminal.

LINE INSTRUCTIONS (Lines not listed below are explained on the form.)

For terminals located outside of Michigan, enter only disbursements made with a Michigan destination (Line 13).

Line 1. Indicate changes to the company name and address by crossing out incorrect information and entering correct information.

Line 2. Enter taxpayer Federal Identification Number (FEIN or TR).

Line 2A. Enter taxpayer's 8-digit license number.

Line 3. Enter the report period (example 06/2001 or June 2001).

Lines 4-7. Enter the name, phone number, fax number, and e-mail address of the individual who may be contacted for questions.

Line 8. Enter the Terminal Control Number (TCN). A separate report and schedules must be completed for each terminal.

Line 9. Enter the city and state of the physical location of the terminal.

Lines 10-16. Enter the inventory amounts for each column in NET GALLONS.

Products not identified in Columns 1 through 7 must be reported in Column 8, Other Products.

Line 10: Beginning Inventory. Enter the Actual Physical Ending Inventory from line 15 of the previous month’s report.

Line 11: Total Receipts. Enter the total from all schedules 15A by Product Type.

Line 13: Total Disbursements. Enter the total from all schedules 15B by Product Type.

Line 15: Actual Physical Ending Inventory (Michigan Terminals Only). Enter the physical inventory taken at the terminal at the end of the reporting period.

Column 8, Other Products

When reporting "Other Products" not identified in Columns 1-7 on Page 1, enter the combined total of all schedules for "Other Products".

Product Codes

Enter the appropriate code on Schedules 15A and 15B. See attached list of product codes.