Form Pda-49e - Special Fuel Products Reconciliation
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1PDA-49E
Special Fuel Products Reconciliation
Company name (same as on license)
Minnesota tax ID number
Address
City
State
Zip code
Month/year
Location
Location
Beginning inventory . . . . . . . . . . . . . . . . . .
Beginning inventory . . . . . . . . . . . . . . . . . .
Gallons purchased . . . . . . . . . . . . . . . . . . .
Gallons purchased . . . . . . . . . . . . . . . . . . .
Total to account for . . . . . . . . . . . . . . . . . . .
Total to account for . . . . . . . . . . . . . . . . . . .
Taxable sales . . . . . . . . . .
Taxable sales . . . . . . . . . .
Nontaxable sales . . . . . . .
Nontaxable sales . . . . . . .
Total sales . . . . . . . . . . . . . . . . . . . . . . . . . .
Total sales . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ending inventory (must be measured) . . . .
Ending inventory (must be measured) . . . .
Ending meter reading . . .
Ending meter reading . . .
Beginning meter reading
Beginning meter reading
Gallons metered . . . . . . .
Gallons metered . . . . . . .
Location
Location
Beginning inventory . . . . . . . . . . . . . . . . . .
Beginning inventory . . . . . . . . . . . . . . . . . .
Gallons purchased . . . . . . . . . . . . . . . . . . .
Gallons purchased . . . . . . . . . . . . . . . . . . .
Total to account for . . . . . . . . . . . . . . . . . . .
Total to account for . . . . . . . . . . . . . . . . . . .
Taxable sales . . . . . . . . . .
Taxable sales . . . . . . . . . .
Nontaxable sales . . . . . . .
Nontaxable sales . . . . . . .
Total sales . . . . . . . . . . . . . . . . . . . . . . . . . .
Total sales . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ending inventory (must be measured) . . . .
Ending inventory (must be measured) . . . .
Ending meter reading . . .
Ending meter reading . . .
Beginning meter reading
Beginning meter reading
Gallons metered . . . . . . .
Gallons metered . . . . . . .
Location
Location
Beginning inventory . . . . . . . . . . . . . . . . . .
Beginning inventory . . . . . . . . . . . . . . . . . .
Gallons purchased . . . . . . . . . . . . . . . . . . .
Gallons purchased . . . . . . . . . . . . . . . . . . .
Total to account for . . . . . . . . . . . . . . . . . . .
Total to account for . . . . . . . . . . . . . . . . . . .
Taxable sales . . . . . . . . . .
Taxable sales . . . . . . . . . .
Nontaxable sales . . . . . . .
Nontaxable sales . . . . . . .
Total sales . . . . . . . . . . . . . . . . . . . . . . . . . .
Total sales . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ending inventory (must be measured) . . . .
Ending inventory (must be measured) . . . .
Ending meter reading . . .
Ending meter reading . . .
Beginning meter reading
Beginning meter reading
Gallons metered . . . . . . .
Gallons metered . . . . . . .
Phone: 651-296-0889 (TTY: Call 711 for Minnesota Relay) . Email: petroleum .tax@state .mn .us
(Rev . 8/11)
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Parent category: Financial