Fillable Form 06-128 - Texas Motor Fuel Transporter Report printable pdf download

06-128

PRINT FORM

CLEAR FORM

(Rev.8-11/3)

DDDD

Please do not write in space above

Print your numerals

TEXAS MOTOR FUEL

in boxes as shown

Do Not Staple or Paper Clip

TRANSPORTER REPORT

c. Taxpayer number

d. Due date

e. Filing period

Blacken this box if your address has changed.

Show changes by the preprinted information.

Taxpayer name and mailing address

Blacken this box if you are no longer in

business and enter the

last business date

You have certain rights under Chapters 552 and 559, Government Code, to review, request and correct

information we have on file about you. Contact us at the address or phone number listed on this form.

INSTRUCTIONS FOR COMPLETING TEXAS MOTOR FUEL TRANSPORTER REPORT

WHO MUST FILE

GENERAL INSTRUCTIONS

Every motor fuel transporter transporting gasoline or diesel fuel in

Do not write in shaded areas.

Texas by truck, railroad tank car, or marine vessel. Failure to obtain

TYPE or PRINT.

a license with the Comptroller or file a required quarterly report may

Complete all applicable items that are not preprinted.

result in the assessment of civil penalty as prescribed by Chapter

If any preprinted information is not correct, please mark out the

162 of the Tax Code.

incorrect information and write in the correct information.

ROUND ALL GALLONAGE FIGURES TO WHOLE GALLONS.

A motor fuel transporter license is not required for a person

transporting their own fuel in their own cargo tank for their own use

and not for resale.

SPECIFIC INSTRUCTIONS

WHEN TO FILE

Item 1- Complete the "Texas Schedule of Motor Fuel Transporter

This report must be filed on or before the 25th day following the end

Deliveries--Exports," (Form 06-134), to obtain the necessary

of a calendar quarter for gasoline or diesel fuel transported during

information for this item and attach the schedule to this

the preceding quarter.

report.

NOTE: A $50 late filing penalty will be

assessed each time a report is filed after the due date.

Item 2- Complete the "Texas Schedule of Motor Fuel Transporter

Deliveries--Imports," (Form 06-133), to obtain the necessary

If you're interested in

information for this item and attach the schedule to this

report.

ELECTRONIC TAX FILING

please call us at (800) 442-3453, or

Item 4- Enter the combined total gallons lost by fire, theft, spillage,

email us at etf.cpa@cpa.state.tx.us

or accident.

ENTER WHOLE GALLONS

1. Total gallons of gasoline and diesel fuel loaded at a Texas terminal or bulk plant

and delivered to another state.

(from attached Schedule for EXPORTS, Form 06-134)

2. Total gallons of gasoline and diesel fuel loaded at a location outside

of Texas and delivered into Texas.

(from attached Schedule for IMPORTS, Form 06-133)

3. Total gallons of gasoline and diesel fuel loaded at a Texas terminal or

bulk plant and delivered to a Texas location.

(no schedule)

(

)

4. Loss by fire, theft, spillage, or accident

5. Total gallons of gasoline and diesel fuel transported.

(Total of Items 1, 2, and 3 minus Item 4)

I declare that the information in this document and any attachments is true and correct to the best of my

knowledge and belief.

Taxpayer or duly authorized agent

Mail to: COMPTROLLER OF PUBLIC ACCOUNTS

111 E. 17th St.

Austin, TX 78774-0100

Daytime phone (Area code and no.)

Date

If you have any questions regarding fuels tax, you may contact the Texas State Comptroller's

field office in your area or call (800) 252-1383 or (512) 463-4600.

Form 06-128 - Texas Motor Fuel Transporter Report

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