Form 06-182 - Amended Schedule Of Gallons Sold Tax-Free To Aviation Fuel Dealers
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1
206-182
-- AMENDED --
(Rev.3-06/3)
b.
<choose one>
a.
DO NOT WRITE IN SHADED AREAS
TYPE or PRINT
TEXAS SCHEDULE OF GALLONS SOLD TAX-FREE
c. Taxpayer number
d. Filing period
TO AVIATION FUEL DEALERS
(Item 14)
f.
e. Taxpayer name
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Purchaser name
4. Purchaser taxpayer number
5. Prod. type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
11. Were these gallons
purchased tax-paid?
1 =YES 0 =NO
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Purchaser name
4. Purchaser taxpayer number
5. Prod. type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
11. Were these gallons
purchased tax-paid?
1 =YES 0 =NO
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Purchaser name
4. Purchaser taxpayer number
5. Prod. type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
11. Were these gallons
purchased tax-paid?
1 =YES 0 =NO
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Purchaser name
4. Purchaser taxpayer number
5. Prod. type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
11. Were these gallons
purchased tax-paid?
1 =YES 0 =NO
LOCATOR NUMBER
1. Transporter name
2. Transporter taxpayer number
3. Purchaser name
4. Purchaser taxpayer number
5. Prod. type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
11. Were these gallons
purchased tax-paid?
1 =YES 0 =NO
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Purchaser name
4. Purchaser taxpayer number
5. Prod. type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
11. Were these gallons
purchased tax-paid?
1 =YES 0 =NO
1. Transporter name
2. Transporter taxpayer number
LOCATOR NUMBER
3. Purchaser name
4. Purchaser taxpayer number
5. Prod. type
6. Mode
7. Date removed
8. Shipping doc. no.
9. Terminal control number
10. Invoiced gallons
11. Were these gallons
purchased tax-paid?
1 =YES 0 =NO
TOTAL INVOICED GALLONS
(Sum of Item 10)
FOR THIS PAGE ONLY
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