2013
FORM
MARYLAND
SPECIAL FUEL USER WORKSHEET
776-1
MOTOR FUEL
TAX
Company Name
FEIN
Account Number
Period of Return (MM/YY)
Line
Description
Gallons
1
Inventory on hand at the beginning of the month (Transfer from Line 1 GTD-300)
1. _____________________
Receipts:
2
Purchases on which tax was not paid (Total from Schedule A)
2. _____________________
3
Purchases on which tax was paid (Total from Schedule B)
3. _____________________
4
Total (Of Lines 1, 2 & 3)
4. _____________________
5
Inventory on hand at the end of Month (Transfer to Line 3 GTD-300) must be physical
5. _____________________
6
Gallons available for sale or use (Subtract Line 5 from 4)
6. _____________________
Non-taxable disbursements:
7
Non-taxable use and other deductions (Total from Schedule C)
7. _____________________
8
Stock loss (Transfer to Line 4 GTD-300.) Stock gain (Transfer to Line 2 GTD-300.) Brackets for gain on worksheet only
8. _____________________
9
Total non-taxable gallons (Total of Line 7 & 8)
9. _____________________
Taxable disbursements:
10
Taxable sales to users (Total from Schedule E)
10. _____________________
11
Taxable use in own equipment (Total from Schedule F)
11. _____________________
12
Total taxable gallons sold & used (Total of Line 10 & 11)
12. _____________________
13
Gallons accounted for (Total line 9 & 12, must equal Line 6)
13. _____________________
14
Adjustments: Previously assessed (Transfer from Line 7 GTD-300)
Audit Tax
$ _____________________(Include in Line 18 total)
Penalty
$ _____________________(Include in Line 19 total)
Interest
$ _____________________(Include in Line 20 total)
15
Adjustments of prior month(s) report(s) (Total from Schedule Z) (Brackets for credits)
15. _____________________
16
Adjustments for taxes paid on bulk purchases (Total from Schedule B)
16. _____________________
17
Total taxable gallons (Line 12 plus or minus Line 15, minus Line 16) transfer to Line 5a and 6a GTD-300
17. _____________________
18
Total tax due (Line 14 Audit Tax plus Line 17 at current tax rate per gallon)
18. _____________________
19
Total sales and use tax equivalent (SUTE) (Mulitiply Line 17 by current SUTE equivalent rate) transfer to Line 6b GTD-300
19. _____________________
20
Total penalty due (Line 14 penalty plus current penalty, if delinquent) transfer to Line 7e GTD-300
20. _____________________
21
Total interst due (Line 14 interest plus current interst, if delinquent) transfer to Line 7f GTD-300
21. _____________________
22
Total to be paid (Line 18, 19, 20 and 21) transfer to Balance Due line of GTD-300
22. _____________________
The original schedules with the worksheet and with your form GTD-300 are to be mailed to:
Comptroller of Maryland, Revenue Administration Division, PO Box 2191, Annapolis, MD 21404-2191
For more information:
Visit our Web site at or call Taxpayer Service at 410-260-7980 in Central Maryland or 1-800-638-2937 from elsewhere. Send faxes to 410-974-3608.
Mail to: Comptroller of Maryland, Revenue Administration Division, PO Box 2191, Annapolis, MD 21404-2191.
COM/RAD-776-1