Form 06-135 - Texas Schedule Of Tax Free Sales On Signed Statement
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106-135
(7-00)
MMMM
INSTRUCTIONS
b.
TEXAS SCHEDULE OF TAX FREE
SALES ON SIGNED STATEMENT
a.
HP
c. Taxpayer number
d. Filing period
f.
e. Taxpayer name
DIESEL FUEL PRODUCT TYPES
228 - Dyed diesel
160 - Clear diesel
072 - Dyed kerosene
142 - Clear kerosene
130 - Jet fuel
PLEASE TYPE
DO NOT WRITE IN SHADED AREAS
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
1. Purchaser name
2.
Product type
3.
Purchaser signed statement no. 4.
Gallons
TOTAL GALLONS
TOTAL NET GALLONS
FOR THIS PAGE ONLY
FOR ALL PAGES
(Sum of Item 4)
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