Form Pet 372 - Petroleum Products Terminal Return
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5TENNESSEE DEPARTMENT OF REVENUE
PETROLEUM PRODUCTS TERMINAL RETURN
FEIN
Filing Period
Account Number
PET
Beginning:
372
Location Address
Terminal Code
Ending:
Due Date
Complete all lines and schedules. If pen-
alty is applicable, make your check out to
the Tennessee Department of Revenue and
and mail to:
Tennessee Department of Revenue
Andrew Jackson State Office Bldg.
500 Deaderick Street
Nashville, TN 37242
For assistance, you may call in-state toll
free 1-800-342-1003 or (615) 253-0600.
REMINDERS
1. Read line instructions carefully when completing this return.
}
If this is an AMENDED RETURN,
2. Complete all information and schedules.
please check the box at right
3. Transfer totals from schedules to appropriate lines.
4. Sign and date your return in the signature box.
FUELS OTHER THAN GASOLINE
NET GALLONS
(A)
(B)
OTHER NON-GASOLINE
TRANSACTIONS FOR THE MONTH
DIESEL
PRODUCTS
1. Beginning inventory .......................................................................
______________________
_____________________
2. Total receipts (from Schedule 2A) .................................................
______________________
_____________________
3. Total gallons available (Line 1 plus Line 2) .....................................
______________________
_____________________
4. Total disbursements (from Schedule 4A) .......................................
______________________
_____________________
5. Gallons available (Line 3 minus Line 4) .........................................
______________________
_____________________
6. Gains and Losses .........................................................................
______________________
_____________________
7. Ending inventory (total of lines 5 and 6) .........................................
______________________
_____________________
.
8. Penalty - If filed late, penalty of $15 is due ................................................................ $ ________________________
.
9. Total remittance - Line 8 penalty if return is filed late ................................................. $ ________________________
Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief,
it is true, correct, and complete.
SIGN
FOR OFFICE
HERE
USE ONLY
Terminal Operator
Title
Date
Tax Preparer's Signature
Date
RV-R0009201
INTERNET (11-05)
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