Schedule 501a - Terminal Operator'S Schedule Of Receipts - Indiana Department Of Revenue
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1
2Schedule 501A
State Form 49088
10-03
Terminal Operator's Schedule of Receipts
Terminal Operator Name
License Number
FEIN
Terminal Code
Month/Year
.
You may photocopy this blank schedule for future filings. Attach additional sheets if necessary
Product Code/Type (Check One)
For Use with Reporting Special Fuel
For Use with Reporting Gasoline/Oil Inspection
142
Kerosene
065
Gasoline
161
Low Sulphur Diesel #1 - undyed
124
Gasohol
167
Low Sulphur Diesel #2 - undyed
125
Aviation Gasoline
226
High Sulphur Diesel - dye added
130
Jet Fuel Gasoline
227
Low Sulphur Diesel - dye added
142
Kerosene
231
No. 1 Diesel - dye added
150
#1 Fuel Oil - undyed
284
Biodiesel - undyed
161
Low Sulphur Diesel #1 - undyed
290
Biodiesel - dye added
231
No. 1 Diesel - dye added
OTH
Other
241
Ethanol
243
Methanol
282
#1 High Sulphur Diesel - undyed
OTH
Other
Transporter Information
Position Holder Information
(1)
(2)
(3)
(4)
(6)
(7)
(8)
(5)
FEIN
Document
Net
Name
Mode
Name/
FEIN
Document
Address
Date
Number
Gallons
Total
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