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Click ‘Get Form’ to open it in the editor.
In Section A, enter your Legal Business Name, Federal Identification Number, and DBA Name if applicable. Fill in your Physical Street Address, City, State and ZIP Code, and provide a Telephone Number and Email Address.
For Section B: Tax Computation, start by entering the Total Whole Gallons in Inventory for both Gasoline and Special Fuel. Then input the Amount of Tax Rate Increase for each fuel type.
Calculate the Inventory Tax Due by multiplying Line 1 by Line 2 for both columns. Add these amounts to find the Total Tax Due.
If applicable, calculate any Penalty or Interest due based on late filing or unpaid taxes as outlined in the instructions.
Finally, certify your information by signing and dating the form before submission.
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