Form Pt-201 - Retailers Of Non-Highway Diesel Motor Fuel Only (Quarterly Filer)
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1
2Department of Taxation and Finance
PT-201
Q415
Retailers of Non-Highway Diesel
(11/15)
Motor Fuel Only (Quarterly Filer)
Tax Law – Articles 12-A and 13-A
Use this form to report transactions for the period of September 1, 2015, through November 30, 2015.
Legal name
Federal employer identification number (EIN)
Read instructions (Form PT-201-I) carefully. Keep a copy of this completed form for your records.
Inventory
Gallons
1 Opening inventory (this figure cannot be a negative amount) ..................................................................
1
2 Receipts of non-highway diesel motor fuel in New York State (NYS) from sources located outside
this state
..............................................................................................
2
(from Form PT-106.1/201.1, Part 1)
3 Receipts of non-highway diesel motor fuel in NYS from sources located within this state
..............................................................................................................
3
(from Form PT-106.1/201.1, Part 2)
4 Other receipts.............................................................................................................................................
4
5 Inventory gain/loss and casualty losses
............
5
(if loss, enter in brackets and subtract when computing line 6)
6 Gallons of non-highway diesel motor fuel available for sale or use
..........................
6
(add lines 1 through 5)
7 Closing inventory
(gallons available at the end of the month) (this figure cannot be a negative amount; see instructions)
7
8 Total gallons of non-highway diesel motor fuel to be accounted for
...................
(subtract line 7 from line 6)
8
Exempt sales and uses
9 Sales or use of non-highway diesel motor fuel for farming
..............................................
9
(see instructions)
10 Sales of non-highway diesel motor fuel to exempt organizations, not including sales for residential
heating/cooling
.................................................................................... 10
(from Form PT-106.1/201.1, Part 3)
11 Sales or use of non-highway diesel motor fuel in manufacturing
........... 11
(from Form PT-106.1/201.1, Part 4)
12 Sales of non-highway diesel motor fuel to NYS, its municipalities or to the U.S. government
.............................................................................................................. 12
(from Form PT-106.1/201.1, Part 5)
13 Sales or use of non-highway diesel motor fuel for residential heating/cooling
................. 13
(see instructions)
14 Transfers or sales of non-highway diesel motor fuel out of NYS ............................................................... 14
15 Sales of non-highway diesel motor fuel to rate-regulated electric corporations (with a direct pay permit)
for use in generating electricity for sale ................................................................................................... 15
16 Sales of kerosene that is non-highway diesel motor fuel (not included on lines 9 through 15) for
nonresidential heating or production for sale.......................................................................................... 16
Combined
A
B
Taxable sales and uses
Gallons
tax rate
Tax
17 Sales or use of non-highway B20 for nonresidential
heating/cooling .................................................................................. 17
×
$.041 $
18 Sales or use of non-highway diesel motor fuel for nonresidential
heating/cooling, not including B20 and kerosene .............................. 18
$.052 $
×
19 Sales of non-highway diesel motor fuel to rate-regulated electric
corporations (without a direct pay permit) for use in generating
electricity for sale, not including kerosene ......................................... 19
$.168 $
×
20 Sales or use of non-highway B20 that is commercial gallonage
×
$.077 $
................................................................................. 20
(see instructions)
21 Sales or use of non-highway diesel motor fuel, not including B20
and kerosene, that is commercial gallonage
$.097 $
×
........... 21
(see instructions)
(continued)
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