Form Mf-011 - Licensed General Aviation Fuel Dealer Or User Report
Download a blank fillable Form Mf-011 - Licensed General Aviation Fuel Dealer Or User Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Mf-011 - Licensed General Aviation Fuel Dealer Or User Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2MF-011: Licensed General Aviation
Wisconsin
AV
Department of Revenue
Form
Fuel Dealer or User Report
Period End Date (MM DD YYYY)
Use BLACK INK Only
Legal Name
Tax Account Number
Business Name (DBA)
FEIN / SSN
Permit/Business Address
City
State
Zip Code
/
/
Cancel my permit effective
Check if this is an amended return
(MM DD YYYY)
Check if address, name, or entity change
Check if correspondence is included
date inventory taken
1. Actual measured inventory at beginning of period
1.
(
)
2. Receipts during period (itemize below)
Attach additional sheets if necessary.
Name of Supplier
Type of Fuel
Date of Receipt
Invoice #
BOL #
Gallons
Total gallons received (add gallons in last column and enter on this line)
2.
3. Total beginning inventory and receipts (add lines 1 and 2) . . . . . . . . . . . . . . . . . . . . . . . .
3.
4. Total taxable sales . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5. Total taxable use . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
6. Total nontaxable sales . . . . . . . . . . . . . . . . . . . . . . . .
6.
7.
7. Total nontaxable use . . . . . . . . . . . . . . . . . . . . . . . . .
8.
8. Total disbursements (add lines 4, 5, 6, and 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Book inventory at close of period (line 3 less line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
10. Actual measured inventory at close of period. (Date inventory taken:
)
10.
11. Inventory discrepancy - line 9 less line 10 (see instructions). . . . . . . . . . . . . . . . . . . . . . .
11.
12. Total taxable gallons (total of lines 4 and 5 above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.
13. Tax rate per gallon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.
X
.06
14. TAX DUE - multiply line 12 by the tax rate on line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.
DECLARATION: I declare under penalties of law that the above informa-
EFT
Check this box if you are paying the tax due
Payment
on line 14 by electronic funds transfer (EFT).
tion is true, correct, and complete to the best of my knowledge and belief.
Signature (do not print or type)
Contract Person (Please print clearly)
Telephone Number
Date
(
)
MF-011 (R. 2-12)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial