Form 06-128 - Motor Fuel Transporter Report
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106- 128
( R ev. 9- 03/ 2)
DDDD
b.
<choose one>
a.
Pl ease do not wr i t e i n space above
Pr i nt your numer al s
0 1 2 3 4 5 6 7 8 9
TEXA S M O TO R FU EL
i n boxes as shown
Do Not St apl e or Paper Cl i p
TR A N SPO R TER R EPO R T
h.
c. Taxpayer number
d. Due dat e
e. Fi l i ng per i od
f .
Bl acken t hi s box i f your addr ess has changed.
1
Taxpayer name and mai l i ng addr ess
Show changes by t he pr epr i nt ed i nf or mat i on.
g.
Bl acken t hi s box i f you ar e no l onger i n
2
busi ness and ent er t he
l ast busi ness dat e
i .
j .
FM
You have cer t ai n r i ght s under C h. 559, G over nm ent C ode, t o r evi ew , r equest , and cor r ect i nf or m at i on
w e have on f i l e about you. C ont act us at t he addr ess or t ol l - f r ee num ber l i st ed on t hi s f or m .
I N STR U C TI O N S FO R C O M PLETI N G TEXA S M O TO R FU EL TR A N SPO R TER R EPO R T
W HO MUST FI LE
GENERAL I NSTRUCTI ONS
Ever y mot or f uel t r anspor t er t r anspor t i ng gasol i ne or di esel f uel i n
Do not wr i t e i n shaded ar eas.
Texas by t r uck, r ai l r oad t ank car , or mar i ne vessel . Fai l ur e t o obt ai n
TYPE or PRI NT.
a l i cense wi t h t he Compt r ol l er or f i l e a r equi r ed quar t er l y r epor t may
Compl et e al l appl i cabl e i t ems t hat ar e not pr epr i nt ed.
r esul t i n t he assessment of ci vi l penal t y as pr escr i bed by Chapt er
I f any pr epr i nt ed i nf or mat i on i s not cor r ect , pl ease mar k out t he
162 of t he Tax Code.
i ncor r ect i nf or mat i on and wr i t e i n t he cor r ect i nf or mat i on.
ROUND ALL GALLONAGE FI GURES TO W HOLE GALLONS.
A mot or f uel t r anspor t er l i cense i s not r equi r ed f or a per son
t r anspor t i ng t hei r own f uel i n t hei r own car go t ank f or t hei r own use
and not f or r esal e.
SPECI FI C I NSTRUCTI ONS
W HEN TO FI LE
I t em 1- Compl et e t he " Texas Schedul e of Mot or Fuel Tr anspor t er
Thi s r epor t must be f i l ed on or bef or e t he 25t h day f ol l owi ng t he end
Del i ver i es- - Expor t s" , ( For m 06- 134) , t o obt ai n t he necessar y
of a cal endar quar t er f or gasol i ne or di esel f uel t r anspor t ed dur i ng
i nf or mat i on f or t hi s i t em and at t ach t he schedul e t o t hi s
t he pr ecedi ng quar t er .
r epor t .
I t em 2- Compl et e t he " Texas Schedul e of Mot or Fuel Tr anspor t er
Del i ver i es- - I mpor t s" , ( For m 06- 133) , t o obt ai n t he necessar y
I f you' r e i nt er est ed i n
i nf or mat i on f or t hi s i t em and at t ach t he schedul e t o t hi s
ELEC TR O N I C TA X FI LI N G
r epor t .
pl ease cal l us at 1- 800- 442- 3453, or
I t em 4- Ent er t he combi ned t ot al gal l ons l ost by f i r e, t hef t , spi l l age,
e- m ai l us at et f . cpa@ cpa. st at e. t x. us
or acci dent .
EN TER W H O LE G A LLO N S
1. Tot al gal l ons of gasol i ne and di esel f uel l oaded at a Texas t er m i nal or bul k pl ant
1.
and del i ver ed t o anot her st at e.
( f r om at t ached Schedul e f or EXPORTS, For m 06- 134)
2. Tot al gal l ons of gasol i ne and di esel f uel l oaded at a l ocat i on out si de
2.
of Texas and del i ver ed i nt o Texas.
( f r om at t ached Schedul e f or I MPORTS, For m 06- 133)
3. Tot al gal l ons of gasol i ne and di esel f uel l oaded at a Texas t er m i nal or
3.
bul k pl ant and del i ver ed t o a Texas l ocat i on.
( no schedul e)
4.
(
)
4. Loss by f i r e, t hef t , spi l l age, or acci dent
5. Tot al gal l ons of gasol i ne and di esel f uel t r anspor t ed.
5.
( Tot al of I t ems 1, 2, and 3 mi nus I t em 4)
I decl ar e t hat t he i nf or mat i on i n t hi s document and any at t achment s i s t r ue and cor r ect t o t he best of my
knowl edge and bel i ef .
Taxpayer or dul y aut hor i zed agent
Mai l t o: COMPTROLLER OF PUBLI C ACCOUNTS
111 E. 17t h St r eet
Aust i n, Texas 78774- 0100
D ayt i m e phone ( Ar ea code and no. )
D at e
I f you have any quest i ons r egar di ng f uel s t ax, you may cont act t he Texas St at e Compt r ol l er ' s f i el d of f i ce i n your ar ea or cal l
1- 800- 252- 1383 t ol l f r ee, nat i onwi de. The Aust i n number i s 512/ 463- 4600. I f you ar e cal l i ng f r om a Tel ecommuni cat i ons Devi ce f or t he
Deaf ( TDD) , t he t ol l - f r ee number i s 1- 800- 248- 4099, or i n Aust i n, 512/ 463- 4621.
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