Supplier
Monthly Fuel Tax Return
Schedule Directions
Schedule of Receipts
Company Name
FEIN
Schedule Type
Fuel Type
Month/Year
1. Carrier Name
2. Carrier FEIN/SSN
3. Mode
4. Point of Origin
Point of Destination
5. Terminal Code
6. Seller’s Name
7. Seller’s FEIN/SSN
8. Date Shipped
9. Document Number
10. Net Gallons
11. Gross Gallons
12. Billed Gallons
The name of the company filing the tax return should be on each page of the schedules.
Record the first nine digits of the current Wyoming license number of the company filing the tax return on each page of the schedules.
Identify the type of schedule (1A, 2A, 2B, or 3A). These numbers are located on the top left-hand side of the schedule form. Schedule type must be indicated on each page. Use only one schedule type per page.
Identify the type of fuel you are reporting. Fuel type must be indicated on each page. Use only one fuel type per page.
Record the current reporting month and year. Please use the following format: CCYYMM. For example: Use 201307 for July 2013.
Enter the name of the company that transports the product.
Enter the FEIN/SSN of the company that transports the product.
Record the mode of transport. Use one of the following codes:
J = Truck R= Rail PL = Pipeline
The origin of a product is where you take possession of the product. Provide r U. S. Postal Service State Code.
Use the IRS Terminal Control Code if ownership transfers at the rack. Provide city, town, or county for the Wyoming location. This location is the actual location of the customer’s bulk storage. For bulk deliveries to Wyoming airports, use the four-digit code from the list provided by WYDOT. For example: Cheyenne Airport is 0230.
Provide the IRS Terminal Control Code.
Enter the name of the company from whom the product was acquired.
Enter the nine-digit FEIN/SSN of the company from whom the product was acquired.
Enter the date the product was pulled from a terminal or bulk plant, CCYYMM. For example: Use 20130715 for July 15, 2013.
Enter the identifying number from the manifest issued at the terminal when product is removed over the rack. Use the appropriate document number when removed from location other than a terminal.
Record the net amount of gallons received.
Record the gross amount of gallons received.
Record the gallons that you were billed. These must equal either the net or gross gallons.
Uniform Schedule of Disbursements
Company Name
FEIN
Schedule Type
Fuel Type
Month/Year
1. Carrier Name
2. Carrier FEIN/SSN
3. Mode
4. Point of Origin
Point of Destination
5. Terminal Code
6. Shipped To
7. Purchaser’s FEIN/SSN
8. Date Sold
9. Document Number
10. Net Gallons
11. Gross Gallons
12. Billed Gallons
SPL SD (201307)
The name of the company filing the tax return should be on each page of the schedules.
Record the first nine digits of the current Wyoming license number of the company filing the tax return
Identify the type of schedule (5, 6A, 6B, 6C, 6D, 6F, or 7) you are filing. These numbers are located on the top left-hand side of the schedule form. Schedule type must be indicated on each page. Use only one schedule type per page.
Identify the type of fuel you are reporting. Fuel type must be indicated on each page. Use only one fuel type per page.
Record the current reporting month and year. Please use the following format: CCYYMM. For example: Use 201307 for July 2013.
Enter the name of the company that transports the product.
Enter the FEIN/SSN of the company that transports the product.
Record the mode of transport. Use one of the following codes:
J = Truck R= Rail PL = Pipeline
The origin of a product is where you take possession of the product. Use the IRS Terminal Control Code if product is pulled from a terminal rack. Provide city, town, or county for Wyoming locations or U. S. Postal Service State abbreviations if product is pulled from other than a terminal rack.
Use the IRS Terminal Control Code if ownership transfers at the rack. Provide city, town, or county for the Wyoming location. This location is the actual location of the customer’s bulk storage. For bulk deliveries to Wyoming airports, use the four-digit code from the list provided by WYDOT. For example: Cheyenne Airport is 0230.
Provide the IRS Terminal Control Code.
Record the name of the company from whom the product was sold.
Record the nine-digit FEIN/SSN of the company to whom the product was sold.
Record the date the product was pulled from a terminal or bulk plant. Please use CCYYMMDD. For example: Use 20130715 for July 15, 2013.
Enter the identifying number from the manifest issued at the terminal when product is removed over the rack. Use the appropriate document number when removed from location other than a terminal.
Record the net amount of gallons sold.
Record the gross amount of gallons sold.
Record the gallons (must equal either the net or gross gallons) that you billed your customer