Form St-3 Mf Addendum - Pre-Paid Local Sales Tax (Mf) Addendum Schedule

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ST
3 MF Addendum
(Rev. 12/12)
Form
Georgia Department of Revenue
Sales and Use Tax Return
P.O. Box 105408
Version 1
Atlanta, Georgia 30348-5408
/
/
-
Period Ending
Amended Return
Sales & Use #
Name:
FUE TYPE
L
FUEL TYPE CODE
AVERAGE RETAIL SALES RATE
1
G
a
s
l o
n i
e
$ 3.
033
Address:
Diesel (Clear/Dyed)
2
$ 3.530
Aviation Gasoline
$ 5.351
3
Address:
L.P.G.
4
$ 1.954
Special Fuels (includes CNG) 5
$ 2.994
.
County of Business:
Pre-Paid Local Sales Tax (MF) Addendum Schedule
Pre-Paid Local Sales Tax (MF) Addendum Schedule
ON-ROAD FUEL
LOCATION
FUEL
AVERAGE RETAIL
TAXABLE
TYPE
CODE
TAX AMOUNT
JURISDICTION
GALLONS
SALES RATE
TAXABLE SALES
TAX RATE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
TOTALS

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