Form 592 - South Dakota Ethanol Producer Return Page 4

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Mail
Remittance Center
Ethanol Producer Return
Return to:
P.O. Box 5055
Sioux Falls, SD 57117-5055
License Number:
Return Period:
Return Due Date:
Check here if this is an amended report
Report in Whole Gross Gallons Only
DENATURED FUEL-GRADE ALCOHOL INVENTORY & SALES
1
1
Total gallons of fuel-grade alcohol in producer's inventory at beginning of reporting period
2
2
Total gallons of fuel-grade alcohol produced or upgraded during reporting period
3
3
Subtotal gallons of fuel-grade alcohol -- Add Lines 1 and 2
Total gallons of fuel-grade alcohol sold to licensed ethanol brokers and licensed exporters for export during reporting period -- Attach
4
4
Uniform Schedule of Disbursements - Type 6a or 10
Total gallons of taxable fuel-grade alcohol sold to parties other than licensed ethanol brokers and licensed exporters for export during
5
5
reporting period -- Attach Uniform Schedule of Disbursements - Type 5
6
6
Total gallons of fuel-grade alcohol sold during reporting period -- Add Lines 4 and 5
7
7
Total gallons of fuel-grade alcohol remaining in inventory at end of reporting period -- Subtract Line 6 from Line 3
ETHANOL PRODUCTION INCENTIVE
Total gallons of biobutanol produced
8
8
Total gallons fuel-grade alcohol sold during reporting period -- Record amount from Line 6 here
9
9
10
10
Total gallons fuel-grade alcohol produced out-of-state
11
11
Net gallons eligible for production payment -- Subtract Line 10 from Line 9 and add line 8
12
12
$0.20
Production Payment Rate
13
13
Production payment allowance for this reporting period -- Multiply Line 11 by Rate on Line 12
TAXES AND FEES DUE
Allowance (If filing on time) -- Multiply Line 5 by 0.0225
14
14
Fuel Tax Due -- Subtract Line 14 from Line 5 and multiply by $0.08
15
15
Tank Inspection Fee -- Multiply Line 5 by $0.02
16
16
Total gallons of natural gasoline used for denaturing alcohol -- Determine this from your records
17
17
Total gallons of gasoline used for denaturing alcohol -- Determine this from your records
18
18
19
Net Credit Due for gallons of gasoline and/or natural gasoline used as a denaturant -- Multiply Lines 17 & 18 by $0.22 tax rate
19
20
Tank Inspection Fee -- Multiply Lines 17 & 18 by $0.02
20
21
Total credit for this reporting period -- Add Lines 19 and 20
21
22
Total taxes and fees for this reporting period -- Add Lines 15, 16 and subtract Line 21
22
Interest and or Penalty
23
23
Balance Due or Credit from prior records (See Computer Notice)
24
24
25
25
Total payment due for this reporting period - Add Lines 22, 23 and add or subtract Line 24 (Depending on balance due or credit)
SIGNATURE
I, ____________________________________ , for the ethanol producer name on the front of this report, do hereby certify under penalty of perjury that I have examined
this claim, and, to the best of my knowledge and belief, it is correct and complete. I further certify that all ethanol has been produced from agricultural products at a
refinery facility located within South Dakota and that such ethanol has been denatured and meets the 99% purity requirement.
Signature
Title
Date
DOR/DMV FORM 592(7/12)

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