Alaska
542
Aviation Fuel Sales at Municipal
Airports
AS 43.40.010(e)
Include all taxable sales or deliveries of aviation gasoline or jet fuel to a municipally owned or operated airport. File a
separate schedule for each qualifying municipal airport with the Aviation Fuel Tax Return (Form 532).
Federal EIN
Qualified Dealer Number
Month/Year (MM/YY)
Name
Municipal Airport Where Sold
Mailing Address
City
State
Zip Code
Gallons Sold or Delivered
Total Tax Collected
Customer Name
Aviation Gas
Jet Fuel
Total
542
Mail to: Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420
0405-542 Rev 11/12