Form L-2114 - Fuel Vendors Annual Return
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1
2STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
L-2114
FUEL VENDORS ANNUAL RETURN
(Rev. 10/1/14)
4202
Mail To: SC Department of Revenue, Motor Fuel, Columbia, SC 29214-0132
**DO NOT INCLUDE DIESEL GALLONS
Office Use Only
If this return is not filed by February 28, you will be subject to a failure to
comply penalty. See instructions on back.
34-2301
NAME AND ADDRESS
License Number
FEIN
Year Ending
EMAIL ADDRESS
IMPORTANT: DO NOT ATTACH THIS RETURN TO ANY OTHER RETURN YOU FILE.
COUNTY
GASOLINE
COUNTY
GASOLINE
COUNTY
GASOLINE
WHERE SOLD
GALLONS SOLD
WHERE SOLD
GALLONS SOLD
WHERE SOLD
GALLONS SOLD
1001
1017
1033
ABBEVILLE
DILLON
MCCORMICK
1002
1018
1034
AIKEN
DORCHESTER
MARION
1003
1019
1035
ALLENDALE
EDGEFIELD
MARLBORO
1004
1020
1036
ANDERSON
FAIRFIELD
NEWBERRY
1005
1021
1037
BAMBERG
FLORENCE
OCONEE
1006
1022
1038
BARNWELL
GEORGETOWN
ORANGEBURG
1007
1023
1039
BEAUFORT
GREENVILLE
PICKENS
1008
1024
1040
BERKELEY
GREENWOOD
RICHLAND
1009
1025
1041
CALHOUN
HAMPTON
SALUDA
1010
1026
1042
CHARLESTON
HORRY
SPARTANBURG
1011
1027
1043
CHEROKEE
JASPER
SUMTER
1012
1028
1044
CHESTER
KERSHAW
UNION
1013
1029
1045
CHESTERFIELD
LANCASTER
WILLIAMSBURG
1014
1030
1046
CLARENDON
LAURENS
YORK
1015
1031
COLLETON
LEE
1016
1032
TOTAL
DARLINGTON
LEXINGTON
GALLONS SOLD
Signature
Date
Name
Phone
(Print)
42021030
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