Form Pda-45e - Ethanol Production Report
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1PDA-45E
Ethanol Production Report
Company Name
Minnesota Tax ID Number
Terminal Location
For Month/Year
Receipts
Ethanol
1 Beginning inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Manufactured by company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Total inventory and receipts (add lines 1 and 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Disbursements
4 Sold to exclusive marketers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Sold tax-free to licensed Minnesota distributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Sold tax-charged to non-licensed Minnesota distributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 E85/racing fuels sold from inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Total disbursements (add lines 4 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Amounts
9 Book balance (subtract line 8 from line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Measured inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Loss or gain (difference between line 9 and line 10; if line 10 is more than line 9,
include parentheses to indicate the result is a negative amount) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
I declare under the penalties of criminal liability for willfully making any false statements, that this claim has been examined by me
and to the best of my knowledge and belief is true and complete for the taxable period stated.
Authorized Signature and Title
Date
Daytime Phone
Mail to: Minnesota Revenue, Petroleum Taxes, Mail Station 3333, St. Paul, MN 55146-3333.
Website:
Email: Petroleum.Tax@state.mn.us
Phone: 651-297-4130
(Rev . 8/17)
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Parent category: Financial