Form Ft-945/1045 - Sales Tax Prepayment On Motor Fuel/diesel Motor Fuel Return
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1
2FT-945/1045
Department of Taxation and Finance
Sales Tax Prepayment on
0916
(11/15)
Motor Fuel/Diesel Motor Fuel Return
For the period November 1, 2015, through November 30, 2015, only; due December 21, 2015.
Sales tax vendor identification number
Business telephone number
Daytime telephone number
Mandate to use Sales Tax
Web File – Most filers fall
(
)
(
)
under this requirement
(see
Legal name
.
instructions)
Has your address or business
DBA (doing business as) name
information changed? – To
update your mailing address,
visit our Web site (see Need
help? in Form FT-945/1045-I)
Street address
and look for the Change my
address option for further
City
State
ZIP code
instructions, or enter your
correct address on this form.
See Form FT-945/1045-I, Instructions for Form FT-945/1045, before completing any entries.
Parts 1 and 2 – Registered distributors only
Motor fuel distributors: enter 0 in boxes 4, 9, 25a, and 25b; diesel motor fuel distributors: enter 0 in boxes, 15, 20, 25a, and 25b. You must file
No activity?
–
by the due date even if no tax is due. There is a $50 penalty for late filing of a no-tax-due return.
Part 1 – Computation of sales tax prepayment on motor fuel – registered distributors only
Tax due (column A column B)
A –
B –
C –
Number of gallons subject to tax
Sales tax prepayment per gallon
Region 1
×
1
$.175 =
1
Region 2
×
2
$.210 =
2
×
Region 3
3
$.160 =
3
4 Gross sales tax prepayment on motor fuel
............................................................
4
(add lines 1, 2, and 3)
Credits: sold to exempt purchasers or exported; loss due to shrinkage, evaporation, or handling; or casualty loss
5a Region 1 total ...................................................................................
5a
5b Region 2 total ...................................................................................
5b
5c Region 3 total ..................................................................................
5c
6 Net credits
..................................................
6
(add lines 5a, 5b, and 5c)
7 Refunds previously requested on Form AU-629 ..............................
7
8 Total credits on motor fuel (
...............................................................................
8
subtract line 7 from line 6)
9 Net sales tax prepayment due on motor fuel .........................................................................................
9
10 Motor fuel regional tax adjustment total ................................................................................................ 10
11 Total prepayment due on motor fuel
..........................................................................
11
(add lines 9 and 10)
Part 2 – Computation of sales tax prepayment on diesel motor fuel – registered distributors only
Tax due (column A column B)
A –
B –
C –
Number of gallons subject to tax
Sales tax prepayment per gallon
×
Region 1
12
$.175 =
12
Region 2
×
13
$.210 =
13
×
Region 3
14
$.160 =
14
15 Gross sales tax prepayment on diesel motor fuel
.............................................
15
(add lines 12, 13, and 14)
Credits: sold to exempt purchasers, exported, or casualty loss
16a Region 1 total ................................................................................... 16a
16b Region 2 total ................................................................................... 16b
16c Region 3 total ................................................................................... 16c
17 Net credits
..............................................
17
(add lines 16a, 16b, and 16c)
18 Refunds previously requested on Form AU-629 ..............................
18
19 Total credits on diesel motor fuel
................................................................. 19
(subtract line 18 from line 17)
20 Net sales tax prepayment due on diesel motor fuel .............................................................................. 20
21 Total prepaid tax due on motor fuel and diesel motor fuel
...............................
21
(add lines 11 and 20)
Credit carryforward
22 Credit for an overpayment of tax made in a prior period ........................................................................ 22
23 PrompTax payment ................................................................................................................................ 23
24 Subtotal
.................................................................................................................. 24
(add lines 22 and 23)
25a Balance due
................................................................................................. 25a
(subtract line 24 from line 21)
25b Amount paid
.................................................................................................................. 25b
(see instructions)
Parts 3 and 4 – Motor fuel wholesalers, jobbers, etc., proceed to Part 3 on page 2
44500111150094
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