Form Dr-309632 Sample - Wholesaler/importer Fuel Tax Return - 2015 Page 12

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DR-309632
R. 01/14
Page 12
Schedule 11 — Continuation of retail local option tax worksheet for summarizing by county gasoline/gasohol/
denatured ethanol gallons delivered to retail locations and end-users (local option tax collected)
(A)
(B)
(C)
(D)
(E)
Gallons of Gasoline or
Rate
Local Option Tax
Local Option Tax Not
Entitled to
Gasohol Sold
Entitled to Collection
Additional Local
Entitled to Collection
County
Collection
Allowance
Option Rate
Allowance
Allowance
(A) times (B) = (C)
(A) times (D) = (E)
34 Lafayette
.01
.012
35 Lake
.02
.012
36 Lee
.02
.062
37 Leon
.02
.062
38 Levy
.01
.012
39 Liberty
.02
.012
40 Madison
.02
.062
41 Manatee
.02
.062
42 Marion
.02
.062
43 Martin
.02
.062
44 Monroe
.02
.042
45 Nassau
.02
.012
46 Okaloosa
.02
.042
47 Okeechobee
.02
.062
48 Orange
.01
.012
49 Osceola
.02
.012
50 Palm Beach
.02
.062
51 Pasco
.02
.062
52 Pinellas
.02
.012
53 Polk
.02
.062
54 Putnam
.02
.062
55 St. Johns
.01
.012
56 St. Lucie
.02
.062
57 Santa Rosa
.01
.012
58 Sarasota
.02
.062
59 Seminole
.02
.012
60 Sumter
.02
.012
61 Suwannee
.02
.062
62 Taylor
.01
.012
63 Union
.02
.012
64 Volusia
.02
.062
65 Wakulla
.02
.012
66 Walton
.02
.012
67 Washington
.02
.012
Page 12 Subtotal
Subtotal from Page 11
Total

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