Form 575 - Terminal Operator Report Page 2
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1
2INSTRUCTIONS
FOR TERMINAL OPERATOR REPORT
CORRECTING REPORTS:
Additional Report - adds or takes away any additional gallons from the original report. When filing an additional report, please report only those
gallons in which you are changing.
Amended Report - filed when all or the majority of the information originally reported is incorrect. This type of report will replace all information
that was first reported.
LINE NUMBER:
1. Enter beginning inventory stored in the terminal for the first day of the month (ending inventory from previous month’s report).
2. Enter the total gallons of fuel received for the month (total from Terminal Receipts Schedule TR and 2X).
3. Total gallons available (add Lines 1 and 2).
4. Enter the total gallons of fuel disbursed for the month (total from Terminal Disbursement Schedule TD and 6X).
5. Gallons available (Line 3 minus Line 4).
6. Enter the stock loss and/or gain if applicable for the month. If the amount of the stock loss and/or gain exceeds one half of one percent of
the number of net gallons received, attach documentation to the report.
7. Actual ending inventory balance in the terminal (Line 5 adjusted by Line 6).
If you have questions or need assistance in completing this form, please call (573) 751-2611 or e-mail excise@dor.mo.gov. You may also
access the Department’s web site at
to obtain this form.
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Parent category: Financial