SCHEDULE OF TRANSACTIONS
Wisconsin Department of Revenue
(608) 266-6701
For use by motor vehicle fuel suppliers, petroleum products carriers, and terminal operators.
Legal Name
FEIN
Month Ending (
MM DD CCYY)
SCHEDULE TYPE (check one box per schedule):
TD Disbursements from an IRS registered terminal
10B Gasoline delivered to exempt licensed general aviation fuel
(terminals only)
dealer/user
OD Originating from locations other than IRS registered
10C Fuel sold tax-exempt to common carriers for urban mass
terminals
transportation
1F Tax-paid purchases transferred to tax-free terminal
10E Uncollectible motor vehicle fuel taxes on fuel delivered to
storage in Wisconsin
customers
7 Wisconsin tax-paid fuel exported (or sold for export)
10G Undyed diesel fuel sold tax-exempt for use in trains
to State of:
10H Undyed diesel fuel sold tax-exempt for use as heating oil
(submit Schedule 7 in duplicate)
10T Fuel sold tax-exempt to Native Americans
8 Fuel sold tax-exempt to US Government
PD Deliveries (carriers only)
10A Gasoline delivered to exempt customers for off-road
TR Receipts into an IRS registered terminal
use
Enter only one product code, mode code, origin, position holder, consignor, carrier, buyer, and destination per schedule.
PRODUCT TYPE
TRANSPORTATION MODE
ORIGIN:
IRS Terminal ID or State
See Appendix B of your
MODE CODE:
POSITION Holder:
Wisconsin electronic filing
J
Truck
FEIN/SSN
guide for a complete list of
PL
Pipe Line
CONSIGNER:
fuel types and related product
R
Rail
FEIN/SSN
codes or see the back of this
S
Ship (Great Lake or
form for a list of the most
CARRIER:
Ocean Vessel)
frequently used product codes.
FEIN/SSN
B
Barge
Write the product code in the
BUYER/CONSIGNEE:
BA
Book Adjustment
space below:
FEIN/SSN
ST
Stock Transfer
DESTINATION:
GS
Gas Station Sales
PRODUCT CODE:
IRS Terminal ID or State
RT
Terminal Removal
BILL OF LADING
(1) Number
(2) Date
(3) Net Gallons
(4) Gross Gallons
(5) Billed Gallons
TOTALS (if supplier and/or carrier, enter gross gallons
in Parts 1 and 2 on Form MF-002)
MF-002T (R. 1-13)