Form Fst-1 - Gasoline And Special Fuel Floor Stock Return - Maine Revenue Services

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FST
Maine Revenue Services
00
Gasoline and Special Fuel
Floor Stock Return
*0712400*
Registration No.
Period Begin
Due Date
Period End
1. Entity Information
Use this area only to report changes in your business
2. OUT OF BUSINESS?
Check here
, return permit to Bureau and
complete information at right. Date closed:
3. OWNERSHIP CHANGE?
If you have changed ownership, indicate the date
when this occured here
and check the type of change below.
Partner added or dropped
Incorporated
Other (explain on reverse)
Sold to
4. NAME CHANGE?
ADDRESS CHANGE?: If your address above is incorrect, please
Attach explanation to this return.
make the appropriate changes to the preprinted address.
Do Not Use Red Ink!
Floor Stock Inventory
,
,
,
,
.
Gasoline
Number of gallons of gasoline on hand
1.
@ $ .008 1a.
Aviation
,
,
,
,
.
Gas
Number of gallons of aviation gas on hand
2.
@ $ .008 2a.
Diesel
,
,
,
,
.
Fuel
Number of gallons of diesel fuel on hand
3.
@ $ .009 3a.
,
,
.
4.
(Total lines 1a, 2a and 3a)
Total Due
Total tax due with this return
,
,
.
Credits
Credit carry forward from prior period
5.
Amount
,
,
.
Line 4 minus line 5. Use line 7 if the result is a credit amount.
Due
6.
Refund
,
,
.
If line 4 minus line 5 is a credit amount, enter the amount to the right.
7.
Due
/
Mail To:
Maine Revenue Service
P.O. Box 1064
Augusta, ME 04332-1064
Date
Phone #
Signature/Title
Print Name
FST-1 Revised 07/07
For assistance in completing this form, call (207) 624-9609

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