Form Dr-309638 Draft - Exporter Fuel Tax Return - 2018 Page 4
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6DR-309638
R. 01/14
Page 4
Company Name
FEIN
Collection Period Ending
(mm/dd/yy)
GALLONS
DIESEL
A. Gasoline
B. Undyed
C. Dyed
D. Aviation
1. Gallons exported - Florida tax paid.
(Schedule 1A): ............................................
2. Gallons exported - other state tax paid to
Florida supplier (Schedule 1B): ...................
3. Gallons exported - tax unpaid.
(Schedule 1C): ............................................
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