Form Pet 378 - Schedule Of Diversion Corrections - Exporter Fuel Tax Return (Attach To Pet 377)

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Schedule of Diversion Corrections - Exporter Fuel Tax Return (Attach to PET 377)
PET
Company Name:
FEIN:
Account Number:
Month of (MM-YY):
378
Tennessee Department of Revenue
Product Type (Circle One)
65 GASOLINE
142 KEROSENE
M O D E
122 BLENDING COMPONENTS (TRANSMIX)
160 UNDYED DIESEL
J TRUCK
123 ALCOHOL
226 DIESEL (HIGH SULFER DYED)
R RAIL
124 GASOHOL
227 DIESEL (LOW SULFER DYED)
B BARGE
125 AVIATION GASOLINE
____ OTHER (SEE ITA PRODUCT CODE LIST)
PL PIPELINE
130 JET FUEL
B A BOOK ADJUSTMENT
ST STOCK TRANSFER
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
( 1 1 )
(12)
(13)
(14)
ORIGINAL
R E V I S E D
CARRIER
CARRIER
DESTINATION
DESTINATION
TERMINAL
PURCHASER
PURCHASER
DATE
DOCUMENT
NET
GROSS
B I L L E D
DIVERSION
PURCHASED
NAME
FEIN
MODE
STATE
STATE
CODE
NAME
FEIN
S H I P P E D
NUMBER
GALLONS
GALLONS
GALLONS
NUMBER
FROM
RV-R0009801

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