Form 150-608-002-1 - Oregon Petroleum Load Fee Quarterly Return - 2012
Download a blank fillable Form 150-608-002-1 - Oregon Petroleum Load Fee Quarterly Return - 2012 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 150-608-002-1 - Oregon Petroleum Load Fee Quarterly Return - 2012 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
2Reset Form
Print Form
Oregon Petroleum Load Fee
FOR OFFICE USE ONLY
Date received
Quarterly Return
•
Tax Year 2012
Payment received
•
Quarter
Due date
*
Program code Year
Period
Liability
1
Business identification number (BIN)
•
•
•
•
01/01/12 to 03/31/12 April 30, 2012
550
12
03
1
STOP!
RequiRed Field See instructions.
Federal employer identification number (FEIN)
1st Quarter
*
RequiRed Field
*
Name
Telephone number
(
)
*
Address
Amended return?
Yes
Mailing address change? Yes
Final return?
Yes
*
*
*
City
State
ZIP code
Indicate:
Bulk facility
Bulk facility / seller
Importer
Seller
Transporter
•
1. Number of loads .........................................................................................................1
2. Rate per load ..............................................................................................................2
$
4.00
•
3. TOTAL FEE DUE (multiply line 1 x line 2) ...................................................................3
$
Under penalty of false swearing, I declare that the information in this return and any attachments is true, correct, and complete.
Signature
Date
X
PRINT name signed above
Title
Telephone number
(
)
Mail this return on or before the due date shown above.
Mail to: Oregon Petroleum Load Fee
Oregon Department of Revenue
PO Box 14110
Salem OR 97309-0910
do not detach voucher
do not detach voucher
Date received at Revenue
Oregon Petroleum Load Fee Payment Voucher
For Tax Year
1
2012
150-608-002-1 (Rev. 03-12)
1st Quarter
Program:
550
12
3
1
Due date:
April 30, 2012
Payment amount
BIN:
$
Is this an amended return?
Yes
OCR FONT FOR SCANLINE USE—NEED FOR CALC FORM—DON’T DELETE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial