Form Rpd-41306 - Combined Fuel Tax Report For Distributors, Suppliers And Wholesalers

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RPD-41306 page 2

State of New Mexico - Taxation & Revenue Department

Rev. 05/03/2013

-- Page 2

COMBINED FUEL TAX REPORT FOR DISTRIBUTORS, SUPPLIERS AND WHOLESALERS

FEIN or CRS

___________________________________________

Report for month of _________________, _______

Distributor/supplier/wholesaler name _______________________________________

From

GASOLINE

ETHANOL

SPECIAL FUEL

Section I - Receipts

(See instructions)

Schedule

Column 1

Column 2

Column 3

Gallons produced and/or blended

Gallons received from a New Mexico terminal

Gallons imported from another state

Gallons received when transported off Indian land

Total taxable gallons received (Total of lines 1 through 4.) Transfer to page 1, line 7.

Gallons acquired tax paid - Do not include received gallons from line 7

Gallons received in New Mexico and tax paid at a Texas terminal

Gallons imported directly into NM Indian land, tax exempt

Total gallons received (Total of lines 5 through 8.) Transfer to page 1, line 2.

From

GASOLINE

ETHANOL

SPECIAL FUEL

Section II - Disbursements

(See instructions)

Schedule

Column 1

Column 2

Column 3

Dyed special fuel gallons sold - Information only

10A

10 Dyed special fuel gallons sold for use in school buses**

10G

11 Gallons sold to retailers/consumers* - New Mexico taxable sales

12 Gallons sold to distributors/suppliers/wholesalers - Tax included

13 Total taxable gallons sold (Total of lines 11 and 12.)

Deductions: Include gallons received in New Mexico and tax paid at a Texas terminal.

14 Gallons exported

15 Gallons sold to U.S. Govt., NATO or Indian tribes for their exclusive use

16 Gallons sold to NM state and local governments for their exclusive use

17 Gallons sold at retail on Indian land by registered Indian tribal distributor

10T

18 Gallons sold at retail on Indian land by other than reg. Indian tribal distributor

19 Undyed gallons sold for off-hwy use - Subject to gross receipts tax (GRT)

10F

20 Undyed gallons sold for SCHOOL BUS use - Subject to GRT**

10G

21 Dyed gasoline or ethanol reported as taxable in Section I - Subject to GRT

10A

22 Special fuel deduction for gallons of biodiesel sold to a NM terminal**

(If claiming a special fuel deduction for gallons of 99% vegetable oil or animal fat, see the instructions.)

23 Total non-taxable gallons (Total of lines 14 through 22.) Transfer to page 1, line 8.

24 Gallons sold non-taxable that were acquired from another distributor and/or supplier in NM

25 Total gallons sold (Total of lines 13, 23 and 24.) Transfer to page 1, line 3.

*You must report all taxable end use sales on Form RPD41306A, Schedule of Gasoline and Ethanol Blended Fuel Sales Delivered into Municipalities or Counties by Final Destination Point.

**These gallons are subject to petroleum products loading fee and must be transferred to line 14 on page 1.