Form Dr-309635 Draft - Blender Fuel Tax Return - 2018 Page 12

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DR-309635
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)
Schedule/Product Type
Company Name
FEIN
Collection Period Ending
(mm/dd/yy)
11/
(A)
(B)
(C)
(D)
(E)
Rate
Gallons of Gasoline or
Local Option Tax
SCETS/
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
.00
.000
35 Lake
.01
.000
36 Lee
.01
.050
37 Leon
.01
.050
38 Levy
.00
.050
39 Liberty
.01
.000
40 Madison
.01
.050
41 Manatee
.01
.050
42 Marion
.01
.050
43 Martin
.01
.050
44 Monroe
.01
.030
45 Nassau
.01
.000
46 Okaloosa
.01
.030
47 Okeechobee
.01
.050
48 Orange
.00
.000
49 Osceola
.01
.050
50 Palm Beach
.01
.050
51 Pasco
.01
.050
52 Pinellas
.01
.000
53 Polk
.01
.050
54 Putnam
.01
.050
55 St. Johns
.00
.000
56 St. Lucie
.01
.050
57 Santa Rosa
.01
.050
58 Sarasota
.01
.050
59 Seminole
.01
.000
60 Sumter
.01
.000
61 Suwannee
.01
.050
62 Taylor
.00
.000
63 Union
.01
.000
64 Volusia
.01
.050
65 Wakulla
.01
.000
66 Walton
.01
.000
67 Washington
.01
.000
Page 12 Subtotal
Subtotal from Page 11
Total

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