Petroleum Environmental Fee Report Form - Arkansas Page 2
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1
2GENERAL INFORMATION
This Fee is required to be filed by every distributor or supplier who first receives fuel in the State under Act 173
of 1989.
th
Any report received with a United States postmark after the 25
will be considered delinquent and applicable
penalties will be assessed.
This Fee will be subject to collection and enforcement of collections under the Arkansas Tax Procedure, Act
401 of 1979 as amended.
INSTRUCTIONS FOR FILING REPORT
LINE 1.
Total motor fuel received or transported into Arkansas.
LINE 2.
Total motor fuel exported outside the State of Arkansas.
LINE 3.
Total gallons of all motor fuel purchased tax paid.
LINE 4.
Total motor fuel sold tax free by Importers to a First Receiver.
LINE 5.
Total Lines 2, 3, and 4.
LINE 6.
Deduct Line 5 from Line 1.
LINE 7.
Multiply gallons on Line 6 by .003.
LINE 8.
Total distillate special fuel received or transported into Arkansas.
LINE 9.
Total distillate special fuel exported outside the State of Arkansas.
LINE 10.
Total gallons of distillate special fuel sold tax free to a First Receiver.
LINE 11.
Total of all distillate special fuel purchased tax paid.
LINE 12.
Total Lines 9, 10 and 11.
LINE 13.
Deduct Line 12 from Line 8.
LINE 14.
Multiply gallons on Line 13 by .003.
LINE 15.
Add Lines 7 and 14.
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