Get documents about "Click Wrap License Agreements - Excel
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Click Wrap License Agreements document sample
Document Sample
Date last updated Range Change
10/12/2006 Row 22 Cell 1 Up dated the fuel charget
12/11/2006 Code Tab updated the terminal numbers updated
8/8/2007 Instructions Tips on Data Entry 2 & 3
8/8/2007 Code Tab Updated Schedule Code table to match EDI guide
8/8/2007 Data Entry Tab Updated headings in G & L column
6/2/2008 Code Tab updated the terminal numbers updated
9/2/2008 Instructions Added Link to the instructions tab for the Example of zero filing worksheet
9/2/2008 filing
Example of zero Added the worksheet Example of zero filing
1/22/2009 updated instructions
4/16/2009 formating issues on schedule codes
6/9/2009 updated codes
12/14/2010 terminal # change under codes tab
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Iowa Fuel Tax 80-017
Schedule Upload Template Instructions
Last Revised 1/22/2009
You have requested the motor fuel excel file for Schedule Upload on the eFile & Pay system.
Feel free to contact Mary Vincent at 515-242-6033; e-mail: mary.vincent@.iowa.gov
Worksheet (tabs): The four tabs are:
1. Instructions – Basic instructions for filing this method.
2. Codes – This worksheet is for Schedule, Product, Terminal (Storage Facility) and Mode codes.
3. Data Entry Form - This worksheet is all the headings for all license types. All fields are formatted as "General". We found
this works best when saving the file as a Tab Delimited (*.txt) file. When typing in gasoline fuel code type in 065. It will
display as 65 but when you save the file .txt it will display in the .txt file as 065.
4. Zero Due Filing Examples - Zero due and zero transaction filing examples. Must file even if no activity.
Requirements
1. Schedule of Receipts and Disbursements are required in many instances.
2. Schedule, Product, Mode Codes meet the FTA uniformity.
3. Iowa's eFile & Pay system is the system for filing.
4. Payments: Make through eFile & Pay or ACH credit.
5. Payments: Warehouse payments to day before due date. When making a payment on eFile & Pay, change the payment date
of the ACH Debit to when you want the money withdrawn. If you file the schedule/return on 9/20/2008 but the payment is not
due until 9/30/08. Change the payment date to 9/29/2008 so the money is withdrawn by the 30th.
6. Amended returns: File corrections on your current month's schedule to be uploaded. Any credits or debits will adjust the
current month you are filing.
Iowa Fuel Tax 80-017
Schedule Upload Template Instructions
Last Revised 1/22/2009
However, to correct periods in which the fuel tax rate differs from the current rate, you must amend that prior periods
schedules as an Amended.
Iowa Fuel Tax 80-017
Schedule Upload Template Instructions
Last Revised 1/22/2009
Tips for Data Entry:
Examples of zero filings: Click on the zero due filing examples tab:
Do not enter any underscore, dashes or any punctuation marks. No blank lines.
To delete any blank lines after your last line of data. Click on the number of the row (left side of screen) and
scroll down about 20 rows and then go to Edit and select Delete. This will delete the whole row. Not just the
cell.
1. Refer to the BEN letter for all the Required Fields and description. The row above the Fields is an R or O. R= Required
and O=Optional.
2. FEIN, SSN or Canadian Business Number - If you do not have the number, you need to enter nine 9's. Example:
999999999. Please get the FEIN number for the next filing.
3. Fuel Code - When typing in gasoline product code, type in 065. It will display as 65 but when you save the file as excel
unless the column is formatted as text. It will then display in the .txt file as 065. Text formating is required in this column to
properly send the file.
4. IRIS Terminal Codes/License - The code is required. If the transaction involves a non IRS Terminal, or an Iowa Storage
Facility - enter the Iowa 9 digit license number which starts with (714). You may use the license number 999999999 if you
can not find the code on the department's web site. The IRS Terminal Codes are listed on the Codes Worksheet and the license
numbers for the Storage Facilities are on our website at: http://www.state.ia.us/tax/forms/motor.html
4. Transaction Date must be in the format of CCYYMMDD. Example: August 5, 2008 is entered as 20080805.
5. Address, City & Zip Code- These are optional fields, but may be required in the future.
6. Gross Gallons - Enter the whole gallons. Round all amounts. Round down all amounts less than .50 and round up all
amounts of .50 through .99. Decimal Points are not valid.
Iowa Fuel Tax 80-017
Schedule Upload Template Instructions
Last Revised 1/22/2009
7. Consignor Name and FEIN columns are required for each line of data for Transportation filers whose license starts wuth
715. The Consignor is the person hiring the carrier. Many times this is the same as the Seller.
8. No blank lines are allowed in between the rows of data. If you have an earlier version of this file - The Subtotal field has
been deleted. If you have this file and plan to use it, click on the Row Headings and highlight all the rows below and delete
rows. This will clear any blank lines.
9. If you add a column that has calculations in it, then you will need to add a Filler field on the Schedule Data Layout screen.
Note: You may delete the Optional fields or move the fields around to fit your needs. This will also required you to change
the Schedule Data Layout.
10. Do not go over 5,000 rows. If your file is 5,000 rows or more, you maybe required to file by EDI.
Iowa Fuel Tax 80-017
Schedule Upload Template Instructions
Last Revised 1/22/2009
Saving Your File Before Uploading:
To file this schedule, you will need to save the file in your directory as a (*.TXT) file. Here are some general instructions.
1. Open the schedule in excel and be on the worksheet that you want to send.
a. Go to "File" "Save As"
b. Name the file using the EDI naming standards in 2.
c. Save Type as "Text (Tab delimited) (*txt). Other file types are available, but tab delimited is what the instructions are
based on. Once this has been saved, you are ready for eFile schedule upload.
2. Format: IA-Name-License #-ccyymm-nn.txt
• IA is the state abbreviation
• Name is the first four characters of the company name
• License # is the 9 digit license number assigned by Iowa
• Ccyymm is the reporting year and month
• Nn represents an original or amended return
• 00 for an original return
• 01 for the first amended return
• 02 for the second amended return
Example: IA-IDOR-704123456-200509-00.TXT
eFile & Pay System:
1. Access the department's website at www.state.ia.us/tax and click on eFile & Pay.
2. Follow the directions from your BEN letter to get set up.
3. A link for HELP is on the eFile & Pay site.
4. Contact the department if you have problems with your file or have any other general questions.
Iowa Fuel Tax 80-017
Schedule Upload Template Instructions
Last Revised 1/22/2009
Last Revised 10/22/2009 changed description of schedules 15A and 15B.
Iowa Fuel Tax Codes
SCHEDULE CODES PRODUCT CODES TERMINAL CODES for IA, IL, MO, MN, NE, SD and WI
Schedule Code Schedule of Receipts Tax Calc Status Product Code If the terminal code is not listed, see the complete list of all IRS Terminal
1A Gallons received originating state tax-paid. Not included in tax calculation. Alcohol 123 http://www.irs.gov/businesses/small/article/0,,id=180086,00.html
1G Gallons received fully taxed at a reduced rate (for blending). Not included in tax calculation. Aviation Gasoline 125 IRS Code Terminal Name City ST IRS Code Terminal Name City ST
2 Gallons received from motor fuel licensee tax unpaid. Not included in tax calculation. BiODiesel Undyed (B-100) B00 or 284 IOWA Missouri
2A Gallons received from terminals, refineries or distributors, origin tax-unpaid.
Not included in tax calculation. BiODiesel Dyed (B-100) D00 or 290 999999999 IDR Code for Non Terminal Des Moines IA T43MO3701 J D Streett St. Louis St. Louis MO
2B Gallons received tax-unpaid, blendable stock. Not included in tax calculation. BiODiesel Undyed B01thru B99 or 170 T39IA3475 Sinclair Transport. Montrose, IA Montrose IA T43MO3703 Ayers Oil Company - Canton Canton MO
2X Gallons received from suppliers on exchange agreements tax unpaid. Not included in tax calculation. BiODiesel Dyed D01thru D99 or 171 T42IA3450 BP Products North America Inc Bettendorf IA T43MO3704 TransMontaigne - Cape Girardeau Cape Girardeau MO
3 Gallons imported from another state direct to customer Included in tax calculation as taxable gallons. Blending Components* 122 T42IA3451 Flint Hills Resources, LP-Bettendorf Bettendorf IA T43MO3705 TEPPCO Cape Girardeau Scott City MO
3A Gallons imported from terminals/refineries. Included in tax calculation as taxable gallons. Compressed Natural Gas 224 T42IA3452 SemFuel, L.P. - Bettendorf Bettendorf IA T43MO3707 Magellan Pipeline Company, L.P. Jasper MO
3B Gallons imported from bulk storage in another state. Included in tax calculation as taxable gallons. Diesel Fuel - dye added 228 T42IA3454 BP Products North America Inc Council Bluffs IA T43MO3708 Magellan Pipeline Company, L.P. Columbia MO
Schedule Code Schedule of Disbursements Tax Calc Status High Sulfur Diesel Fuel - dye added 226 T42IA3455 National Coop. Refinery Council Bluffs IA T43MO3709 ConocoPhillips - Jefferson City Jefferson City MO
5 Gallons delivered tax collected. Included in tax calculation as taxable gallons. Low Sulfur Diesel Fuel - dye added 227 T42IA3456 BP Products North America Inc Des Moines IA T43MO3713 ConocoPhillips - Mount Vernon Mount Vernon MO
5X Gallons delivered and partially taxed. Not included in tax calculation. Supports S04A dollar amount for blender credit. No 1 Diesel - dye added 231 T42IA3457 Magellan Pipeline Company, L.P. Des Moines IA T43MO3714 American River Trans. Co., North St. Louis MO
6 Gallons delivered to motor fuel licensee – tax not collected. Not included in tax calculation. Diesel Fuel - undyed 160 T42IA3458 BP Products North America Inc Peosta IA T43MO3716 Magellan Pipeline Company, L.P. Palmyra MO
6B Gallons sold tax-exempt, customer is a licensed blender. Not included in tax calculation. Low Sulfur Diesel Fuel #1 - undyed 161 T42IA3460 Magellan Pipeline Company, L.P. Dubuque IA T43MO3718 Magellan Pipeline Company, L.P. Brookline MO
6F Gallons sold for tax-exempt purposes from inState terminals. Not included in tax calculation. Low Sulfur Diesel Fuel #2 - undyed 167 T42IA3461 Growmark, Inc. Duncombe IA T43MO3719 J D Streett - River Plant St Louis MO
6X Gallons delivered to suppliers or permissive suppliers on exchange agreements. included in tax calculation.
Not No 1 Fuel Oil - undyed 150 T42IA3463 Magellan Pipeline Company, L.P. Coralville IA T43MO3720 BP Products North America Inc Sugar Creek MO
7 Gallons exported. Included in tax calculation as gross gallons and exported gallons, not taxable gallons. #1 High Sulfur Diesel - undyed 282 T42IA3464 Kaneb Pipe Line Operating Partnership, Le Mars IA T43MO3721 Magellan Terminals Holdings, LP St Peter MO
10E Gallons delivered to customers representing uncollectible motor fuel taxes. Not included in tax calculation. Supports S04A dollar amount for uncollectible taxes. #2 High Sulfur Diesel - undyed 283 T42IA3465 Magellan Mars
L. P. - Le Pipeline Company, L.P. Clear Lake IA T43MO3722 Allied Aviation Service Co of St Louis St. Louis MO
11A Diversion to state of ____________. Included in tax calculation as gross gallons and exported gallons, not taxable gallons. Ethanol E00 thru E99 or 241 T42IA3466 Kaneb Pipe Line Operating Partnership, Milford IA T43MO3723 Allied Aviation Service of Kansas City Kansas City MO
11B Diversion from state of ___________. Included in tax calculation as taxable gallons. Gasohol 124 T42IA3467 L. P. - Milford
Magellan Pipeline Company, L.P. Milford IA T43MO3725 Buckeye Terminals, LLC - St. Louis North St. Louis MO
Schedule Code Carrier / Transportation Schedules Tax Calc Status Gasoline 065 T42IA3468 BP Products North America Inc North Liberty IA T43MO3726 Buckeye Terminals, LLC - St. Louis South St Louis MO
14A Carrier deliveries in another state (export). Not applicable. E75 E75 or 078 T42IA3469 BP Products North America Inc Ottumwa IA T43MO3727 TransMontaigne - Mt Vernon Mount Vernon MO
14B Carrier deliveries received from another state (import). Not applicable. E85 E85 or 079 T42IA3470 ConocoPhillips - Pleasant Hill Pleasant Hill IA T43MO3728 Sinclair Transport.- East Carrollton, MO Carrollton MO
14D Carrier receipts. Not applicable. Jet Fuel 130 T42IA3471 Semfuel LP - Riverdale Riverdale IA IRS Code Terminal Name City State
14E Carrier deliveries. Not applicable. Kerosene - undyed 142 T42IA3472 Kaneb Pipe Line Operating Partnership, Rock Rapids IA MINNESOTA
Schedule Code IRS Gasoline Terminal / Storage Facility (Ethanol Plants, Biodiesel Plants) Schedules
Tax Calc Status Low Sulfur Kerosene - undyed 145 T42IA3473 L. P. - Rock Rapids
Magellan Pipeline Company, L.P. Sioux City IA T41MN3400 Kaneb Pipe Line Operating Partnership, L.P. - Moorhead Moorhead MN
15A IRS Gasoline Terminal or Storage Facility Receipts Not applicable. High Sulfur Kerosene - undyed 147 T42IA3474 Magellan Pipeline Company, L.P. Waterloo IA T41MN3401 Kaneb Pipe Line Operating Partnership, L. P. - Sauk Sauk Centre MN
15B IRS Gasoline Terminal or Storage Facility Disbursements Not applicable. Kerosene - dye added 072 T41MN3402 Centre
BP Products North America Inc Spring Valley MN
T41MN3403 Kaneb Pipe Line Operating Partnership, L. P. - Roseville Roseville MN
Low Sulfur Kerosene - dye added 073 IRS Code Terminal Name City ST
High Sulfur Kerosene - dye added 074 ILLINOIS T41MN3404 Marathon Refinery St. Paul St. Paul Park MN
Liquid Natural Gas 225 T36IL3300 Premcor Refining Group Inc Alsip IL T41MN3405 ConocoPhillips Wrenshall Wrenshall MN
Methanol M00 thru M99 or 243 T36IL3301 BP Products North America Inc Des Plaines IL T41MN3406 Newport Terminal Corporation Newport MN
Natural Gasoline 061 T36IL3302 BP Products North America Inc Forest View IL T41MN3407 Flint Hills Resources, LP-Pine Bend St. Paul MN
T36IL3303 BP Products North America Inc Rochelle IL T41MN3410 Murphy Oil USA, Inc. - Esko Esko MN
Mode Codes Propane (Liquefied Petroleum Gas) 054
Code Description Residual Fuel Oil 175 T36IL3304 CITGO - Mt. Prospect Arlington Heights IL T41MN3412 Magellan Pipeline Company, L.P. Alexandria MN
J Truck Soy Oil 285 T36IL3305 Kinder Morgan Liquids Terminals LLC Argo IL T41MN3413 Magellan Pipeline Company, L.P. Mankato MN
R Rail Undefined Products** 092 T36IL3306 Buckeye Terminals, LLC - Rockford Rockford IL T41MN3414 Magellan Pipeline Company, L.P. Marshall MN
B Barge * Gasohol blending components T36IL3307 Marathon Mt. Prospect Arlington Heights IL T41MN3415 Magellan Pipeline Company, L.P. St Paul MN
S Ship ** Products which do not have a specified product code Also T36IL3308 Marathon Oil Rockford Rockford IL T41MN3416 Magellan Pipeline Company, L.P. Eyota MN
PL Pipeline used for diesel blending components which do not have a T36IL3310 Support Terminal Services, Inc. - Blue Blue Island IL T41MN3417 BNSF - Northtown Minneapolis MN
specified product code Island
GS Gas Station T36IL3311 ExxonMobil Oil Corp. Arlington Heights IL T41MN3418 Support Terminals Operating Partnership, L. P. Winona Winona MN
BA Book Adjustment T36IL3312 Petroleum Fuel & Terminal - Forest Forest View IL T41MN3419 Servisair & Shell Fuel Services St. Paul MN
ST Stationary Transfer T36IL3313 View
ConocoPhillips - Kankakee Kankakee IL T41MN3420 Signature Flight Support Corp. Minneapolis MN
CE Summary Information T36IL3315 Buckeye Terminals, LLC - Argo Argo IL T41MN3421 Servisair & Shell Fuel Services Minneapolis MN
RT Removal from Terminal (other than by truck or Rail) for sale or T36IL3316 Shell Oil Products US Des Plaines IL T41MN3422 Northern States Power Company Inver Grove MN
consumption T36IL3317 CITGO - Lemont Lemont IL T41MN3423 Northern States Power Company Hgts
Shakopee MN
T36IL3318 CITGO - Des Plaines Des Plaines IL T41MN3424 Cooperative Power Association St Bonifacius MN
T36IL3319 Magellan Pipeline Company, L.P. Amboy IL IRS Code Terminal Name City ST
T36IL3320 Magellan Pipeline Company, L.P. Franklin Park IL Nebraska
T36IL3323 Buckeye Terminals, LLC - Peoria Chillicothe IL T39NE3604 Elliott Aviation of Omaha, Inc. Omaha NE
T36IL3324 ONEOK North System, LLC Morris IL T39NE3612 Magellan Pipeline Company, L.P. Bellevue NE
T36IL3325 Aircraft Service International, Inc. Chicago IL T39NE3613 Truman Arnold Co. - TAC Air Omaha NE
T36IL3326 United Parcel Service Inc Rockford IL T39NE3614 Union Pacific Railroad Co. North Platte NE
T36IL3327 Aux Sable Rail Rack Morris IL T39NE3615 BNSF - Lincoln Lincoln NE
T36IL3359 BNSF - Galesburg Facility Galesburg IL T47NE3600 Kaneb Pipe Line Operating Partnership, L. P. - Columbus Columbus NE
T36IL3375 ExxonMobil Oil Corporation Lockport IL T47NE3601 Kaneb Pipe Line Operating Partnership, L. P. - Geneva Geneva NE
T36IL3376 Skytanking USA Inc. Chicago IL T47NE3602 Magellan Pipeline Company, L.P. Doniphan NE
T37IL3351 BP Products North America Inc Hartford IL T47NE3603 ConocoPhillips - Lincoln Roca NE
T37IL3353 ConocoPhillips - Hartford Hartford IL T47NE3605 Magellan Pipeline Company, L.P. Roca NE
T37IL3354 Hartford Wood River Terminal Hartford IL T47NE3606 Kaneb Pipe Line Operating Partnership, L. P. - Norfolk Norfolk NE
T37IL3356 Buckeye Terminals, LLC - Hartford Hartford IL T47NE3607 Kaneb Pipe Line Operating Partnership, L. P. - North Platt North Platte NE
T37IL3358 Marathon Champaign Champaign IL T47NE3608 Magellan Pipeline Company, L.P. Omaha NE
T37IL3360 Marathon Robinson Robinson IL T47NE3609 ConocoPhillips - Sidney Sidney NE
T37IL3361 HWRT Terminal - Norris City Norris City IL T47NE3610 Kaneb Pipe Line - Osceola Osceola NE
T37IL3364 Meier Oil Terminal Ashkum IL IRS Code Terminal Name City ST
T37IL3365 ConocoPhillips - Decatur Forsyth IL South Dakota
T37IL3366 ConocoPhillips - E. St. Louis Cahokia IL T46SD3550 Kaneb Pipe Line Operating Partnership, L. P. - Aberdeen Aberdeen SD
T37IL3367 Arc Terminals Holdings LLC Chillicothe IL T46SD3551 Kaneb Pipe Line Operating Partnership, L. P. - Mitchell Mitchell SD
T37IL3368 Buckeye Terminals, LLC - Effingham Effingham IL T46SD3552 Rocky Mountain Pipeline System LLC Rapid City SD
T37IL3369 Buckeye Terminals, LLC - Harristown Harristown IL T46SD3553 Kaneb Pipe Line Operating Partnership, L. P. - Sioux Falls Sioux Falls SD
T37IL3371 Magellan Pipeline Company, L.P. Heyworth IL T46SD3554 Magellan Pipeline Company, L.P. Sioux Falls SD
T37IL3372 Magellan Pipeline Company, L.P. Petersburg IL T46SD3555 Magellan Pipeline Company, L.P. Watertown SD
T43IL3729 Marathon Hartford Hartford IL T46SD3556 Kaneb Pipe Line Operating Partnership, L. P. Wolsey Wolsey SD
T72IL0001 West Shore Pipeline Company - Arlington Heights IL T46SD3557 Kaneb Pipe Line Operating Partnership, L. P. - Yankton Yanton SD
T72IL0002 Arlington Heights Company - Forest
West Shore Pipeline Forest View IL IRS Code Terminal Name City ST
T72IL0003 View Shore Pipeline Company -
West Arlington Heights IL IRS Code Terminal Name City ST
T72IL0004 Arlington Heights Company -
West Shore Pipeline Rockford IL Wisconsin
T72IL0005 Rockford
IMTT - Lemont Lemont IL T39WI3061 U.S. Oil Co. - Green Bay Fox Green Bay WI
T39WI3062 BP Products North America Inc Milwaukee WI
T39WI3064 Cenex Energy Chippewa Falls WI
T39WI3065 Cenex Energy McFarland WI
T39WI3066 CITGO - Green Bay Green Bay WI
T39WI3067 CITGO - McFarland McFarland WI
T39WI3068 CITGO - Milwaukee Milwaukee WI
T39WI3069 U. S. Oil Co., Inc. Madison WI
T39WI3070 SemFuel LP - Green Bay Green Bay WI
T39WI3071 Flint Hills Resources, LP-Junction City Junction City WI
T39WI3072 Flint Hills Resources, LPMadison McFarland WI
T39WI3073 Flint Hills Resources, LPMilwaukee Milwaukee WI
T39WI3074 Flint Hills Resources, LP-Waupun Waupun WI
T39WI3075 Marathon Green Bay Green Bay WI
T39WI3076 Marathon Milwaukee Milwaukee WI
T39WI3077 Buckeye Terminals, LLC - Green Bay Green Bay WI
T39WI3079 Buckeye Terminals, LLC - Madison McFarland WI
T39WI3080 Murphy Oil USA, Inc. - Superior Superior WI
T39WI3081 Support Terminals Operating Partnership, L. P. - Milwaukee WI
Milwaukee
T39WI3082 U.S. Oil Co. - Chippewa Falls Chippewa Falls WI
T39WI3083 Arc Terminals Holdings LLC McFarland WI
T39WI3084 U.S. Oil Co. - Milwaukee Milwaukee WI
T39WI3086 U.S. Oil Co. - MilwaukeeNorth Milwaukee WI
T39WI3087 Magellan Pipeline Company, L.P. Mosinee WI
NAME Iowa Fuel Tax Schedule
PERMIT NOTE: Required fields are needed to complete the schedule upload
TAX PERIOD Click on Codes Tab to see IRS Terminal Codes and other information.
R=Required; O=Optional Last revised 8/8/2007Column G & L headings
R R R R R R R R O O R O R R O O R
Origin Purchase
Terminal r Name
IRS Code Seller Name (whom
Carrier Carrier / License (filer is Seller Origin Origin Origin did you Purchaser Dest.
Schedule Code Product Code Name FEIN Mode Number Seller) FEIN Address Origin City State Zip sell it to) FEIN Address Dest City Dest State
*Consignor Name & FEIN is
Required for schedule
codes 14 A; 14B; 14D & 14E.
O O R R O R O O O O O O O/ *R O/ *R O O
Dest
Terminal Transaction Bill of Receiving Receiving
IRS Code Date Lading / Position Position Exchange Exchange
/ License (ccyymmdd Invoice Gross Billed Beginning Ending Stock Gains Holder Holder Consignor Consignor Party Party
Dest Zip Number ) Number Net Gallons Gallons Gallons Inventory Inventory and Losses Name FEIN Name FEIN Name FEIN
NAME Ethanol Plant OR Biodiesel Plant
PERMIT 714 NOTE: Required fields are needed to complete the schedule upload
TAX PERIOD 20080731 Click on Codes Tab to see IRS Terminal Codes and other information.
R=Required; O=Optional
R R R R R R R
Origin Terminal IRS
Schedule Code Product Code Carrier Name Carrier FEIN Mode Code / License Number Seller Name (filer is Seller)
Iowa Fuel Tax Schedule
R O O R O R R O O R O
Origin Origin Origin Purchaser Name (whom did Purchaser Dest.
Seller FEIN Address Origin City State Zip you sell it to) FEIN Address Dest City Dest State Dest Zip
*Consignor Name & FEIN is
Required for schedule
codes 14 A; 14B; 14D & 14E.
O R R O R O O O O O O O/ *R O/ *R O O
Dest
Terminal Transactio Bill of Receiving Receiving
IRS Code n Date Lading / Position Exchange Exchange
/ License (ccyymmd Invoice Gross Billed Beginning Ending Stock Gains Holder Position Consignor Consignor Party Party
Number d) Number Net Gallons Gallons Gallons Inventory Inventory and Losses Name Holder FEIN Name FEIN Name FEIN
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