Instructions For Tc-109 Return Form Page 2
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4Instructions for TC-109 Return Form
Sales of aviation fuel at Salt Lake International Airport to federally certificated air
carriers. You must complete TC-109B, schedule type 5XA. This information schedule is only
used for tax distribution to airports.
Line Instructions
Receipts
Line 1
For Utah refiners only. Enter the beginning physical gallons in your inventory for
this month. This must match the last month’s ending inventory.
Line 2
For Utah refiners only. Enter gallons manufactured or compounded. Line 3 Enter
gallons of blend products.
Line 4
Enter gallons of motor fuel transferred to aviation fuel. This amount should match
line 18, column A on this return.
Line 5
Enter gallons of aviation fuel transferred to motor fuel or undyed diesel. The sum of
this line (columns A and B) should match line 18, column D on this return.
Line 6
Enter gallons you imported to Utah.
Line 7
Enter gallons of fuel bought exempt from licensed distributors.
Line 8
For Utah refiners only. Enter gallons received on exchange from other refiners.
Line 9
Enter total Alternative Fuels (including CNG and LNG) in
Gasoline Gallon
Equivalents (GGE = 120 Cu. Ft.) dispensed for highway use.
Line 10
Enter gallons of undyed and dyed diesel you bought without paying tax. Line 11
Enter Utah tax-paid gallons.
Line 12
Add lines 1-11 for each column (A-F).
Deductions
Line 13
Enter gallons you exported from Utah.
Line 14
Enter gallons sold to qualifying government entities.
Line 15
Enter gallons sold to Utah-licensed distributors.
Line 16
For Utah refiners only. Enter gallons sold from refinery or exchanged with qualified
refiners.
Rv 5.23.2013
Page 2
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