Form Gas - Gasoline Distributor Tax Return - Maine Revenue Services
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1
2GAS
Maine Revenue Services
00
Gasoline Distributor Tax Return
*0708000*
Registration No.
Period Begin
Due Date
Entity Number
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.
Incorporated
Partner added or dropped
Other (explain on reverse)
Sold to
4. NAME CHANGE?
Attach explanation to this return.
ADDRESS CHANGE?: If your address above is incorrect, please
make the appropriate changes to the preprinted address.
Do Not Use Red Ink!
Receipts
,
,
Beginning Inventory
1.
,
,
Gallons Received - Tax Paid
Sch 1
2.
,
,
Gallons Received - Tax Unpaid
Sch 2
3.
,
,
Gallons Imported - Direct to Customer
Sch 3
4.
,
,
Gallons Imported - Bulk Storage
Sch 4
5.
,
,
Total Receipts (total lines 2 through 5)
6.
,
,
Available Gallons (line 1 plus line 6)
7.
,
,
Ending Inventory
8.
,
,
Accountable Gallons (line 7 minus line 8)
9.
Sales
,
,
Total Gallons Sold
1.
,
,
Exports
Sch 7
2.
,
,
Sales to Licensed Distributors
Sch 6
3.
,
,
Bulk Sales to United States Government
Sch 8
4.
,
,
Bulk Sales to Agencies or Political Subs of this State
Sch 9
5.
,
,
Jet Fuel for International Flights
Sch 10
6.
,
,
Total Exempt Sales - (add lines 2 though 6)
7.
,
,
Taxable Gallons - (line 1 minus line 7)
8.
For assistance in completing this form, call (207) 624-9609
GT5 Revised 7/07
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