Rev. 9/04
Massachusetts
JFT-4U
Department of
Aircraft (Jet) Fuel User Tax Return
Revenue
Jet fuel license number
Month
Year
Name of licensee
Federal Identification number
Address of licensee
City/Town
State
Zip
Address where records are kept (if different from above)
Name of authorized contact person
Telephone
Address of authorized contact person (if different from above)
City/Town
State
Zip
Inventories and Receipts
Use whole gallons only
1 Beginning inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1
2 Gallons purchased (from Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2
3 Total available gallons. Add lines 1 and 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Ending inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4
5 Total gallons disposed of. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Distribution and Tax Computation
6 Taxable gallons sold and/or used (from Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 6
36
7 Nontaxable gallons sold or used (from Schedule C). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 7
36
8 Total gallons. Add lines 6 and 7. Must equal line 5 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 8
Declaration
Under the penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best
of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which
he/she has knowledge.
Authorized signature
Title (owner, etc.)
Date
Make check payable to Commonwealth of Massachusetts. Mail to: Massachusetts Department of Revenue, PO Box 7012, Boston, MA 02204. Return
must be filed not later than the 20th day of the month following the month for which this return is made.
Tax Type 0160 Form Code: 674