Form L-2105 - Motor Fuel Bonded Importers Monthly Return

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STATE OF SOUTH CAROLINA
1350
L-2105
DEPARTMENT OF REVENUE
MOTOR FUEL BONDED IMPORTERS
(Rev. 3/16/12)
MONTHLY RETURN
4193
Mail to: South Carolina Department of Revenue, Motor Fuel, Columbia, SC 29214-0132.
The Return is Due on the 22nd of the Next Month.
Bonded Importer Name and Address
License Number
FEIN
Period Covered
USER FEE AND FEE CALCULATIONS
1
Gasoline User Fee Due
2
Less Tare Allowance
3
Less Credit
4
Net Gasoline User Fee Due
5
Penalty
6
Interest
7
Total Gasoline User Fee Due
34-2301
8
Special Fuels User Fee Due
9
Less Tare Allowance
10
Less Credit
11
Net Special Fuels User Fee
12
Penalty
13
Interest
14
Total Special Fuels User Fee Due
34-2101
15
Inspection Fees Due
16
Less Credit
17
Net Inspection Fees Due
18
Penalty
19
Interest
20
Total Inspection Fee Due
34-2314
21
Environmental Impact Fees Due
22
Less Credit
23
Net Environmental Fees Due
24
Penalty
25
Interest
26
Total Environmental Impact Fees Due
34-2312
27
Total Fees Due, Plus Penalty and Interest
(Lines 7, 14, 20 and 26)
41931023

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