AB06146bbabType or printITexas Schedule of Gallons Removed from c Taxpayer numberd Filing periodbbfe Taxpayer nameb1 Transporter name2 Transporter taxpayer numberb3 Seller name4 Seller taxpayer nu ID: 887356
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hoo;&#xse 0;one AB 06-146 b. b a. b Type or print I Texas Schedule of Gallons Removed from c. Taxpayer number d. Filing period b b f. e. Taxpayer name b 1. Transporter name 2. Transporter taxpayer number b 3. Seller name 4. Seller taxpayer number b 5. Product type 6. Mode 7. Date removed 8. Shipping doc. no. 9. Terminal control number 10. Invoiced gallons b b b b b b TOTAL INVOICED GALLONS (Enter on Item 2 of TOTAL INVOICED GALLONS b 1. Transporter name 2. Transporter taxpayer number b 3. Seller name 4. Seller taxpayer number b 5. Product type 6. Mode 7. Date removed 8. Shipping doc. no. 9. Terminal control number 10. Invoiced gallons b b b b b 1. Transporter name 2. Transporter taxpayer number b 3. Seller name 4. Seller taxpayer number b 5. Product type 6. Mode 7. Date removed 8. Shipping doc. no. 9. Terminal control number 10. Invoiced gallons b b b b b b 1. Transporter name 2. Transporter taxpayer number b 3. Seller name 4. Seller taxpayer number b 5. Product type 6. Mode 7. Date removed 8. Shipping doc. no. 9. Terminal control number 10. Invoiced gallons b b b b b b 1. Transporter name 2. Transporter taxpayer number b 3. Seller name 4. Seller taxpayer number b 5. Product type 6. Mode 7. Date removed 8. Shipping doc. no. 9. Terminal control number 10. Invoiced gallons b b b b b b 1. Transporter name 2. Transporter taxpayer number b 3. Seller name 4. Seller taxpayer number b 5. Product type 6. Mode 7. Date removed 8. Shipping doc. no. 9. Terminal control number 10. Invoiced gallons b b b b b b 1. Transporter name 2. Transporter taxpayer number b 3. Seller name 4. Seller taxpayer number b 5. Product type 6. Mode 7. Date removed 8. Shipping doc. no. 9. Terminal control number 10. Invoiced gallons b b b b b b *0614600W121805* Form 06-146(Back)(Rev.12-18/5) Texas Schedule of Gallons Removed from IRS Registered Terminals - Texas Tax Paid (Item 2)You have certain rights under Chapters 552 and 559, Government Code, to review, request, and correct informationwe have on file about you. Contact us at the address or phone number listed on this form. Who Must File Every licensed supplier, permissive supplier, distributor, or distributor/aviation fuel dealer that removes tax-paid gasoline or For Assistance For assistance with any Texas Fuels tax questions, please contact the Texas State Comptroller's office at 800-252-1383. General Instructions I TYPE or PRINT all information Complete all applicable items that are not preprinted. If any preprinted information is not correct, mark out the incorrect item and write in the correct information. ROUND ALL GALLONAGE FIGURES TO WHOLE GALLONS. Specific Instructions Item 1 - Enter the name of the transporter. Item 2 - Enter the 11-digit taxpayer number of the transporter of the fuel. Item 3 - Enter the name of the seller. Item 4 - Enter the 11-digit taxpayer number of the seller of the fuel. Item 5- Enter the three-digit product type. 065 - Gasoline 124 - Gasohol 142 - Clear Kerosene Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Enter the date, MM/DD/YY, as it appears on the Shipping Document/Bill of Lading. This is the date the fuel was Item 8 - Enter the Shipping Document/Bill of Lading number. This is the identifying number from the document issued at the Item 9 - Enter the terminal control number of the facility from which the fuel was removed. Item 10 - Enter invoiced gallons. You may report the summary of multiple transactions. See item #8. b.b*0614600W121805* 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Item 8 - Item 9 - Item 10 - b.b*0614600W121805* e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) 6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Item 8 - Item 9 - Item 10 - 6. Mode7. Date removedbbb b.b*0614600W121805* e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) TOTAL INVOICED GALLONS FOR ALL PAGES (Enter on Item 2 of Texas Fuels Tax Report, Form 06-168)TOTAL INVOICED GALLONS(Sum of Item 10) FOR THIS PAGE ONLYb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print 5. Product type6. Mode7. Date removedbbb b.b*0614600W121805* e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) TOTAL INVOICED GALLONS FOR ALL PAGES (Enter on Item 2 of Texas Fuels Tax Report, Form 06-168)TOTAL INVOICED GALLONS(Sum of Item 10) FOR THIS PAGE ONLYb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print 5. Product type6. Mode7. Date removedbbb b.b*0614600W121805* e
2 . Taxpayer namef.b c. Taxpayer numberd.
. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) TOTAL INVOICED GALLONS FOR ALL PAGES (Enter on Item 2 of Texas Fuels Tax Report, Form 06-168)TOTAL INVOICED GALLONS(Sum of Item 10) FOR THIS PAGE ONLYb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Item 8 - Item 9 - Item 10 - 5. Product type6. Mode7. Date removedbbb b.b*0614600W121805* e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) TOTAL INVOICED GALLONS FOR ALL PAGES (Enter on Item 2 of Texas Fuels Tax Report, Form 06-168)TOTAL INVOICED GALLONS(Sum of Item 10) FOR THIS PAGE ONLYb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Item 8 - Item 9 - Item 10 - 5. Product type6. Mode7. Date removedbbb b.b*0614600W121805* e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) TOTAL INVOICED GALLONS FOR ALL PAGES (Enter on Item 2 of Texas Fuels Tax Report, Form 06-168)TOTAL INVOICED GALLONS(Sum of Item 10) FOR THIS PAGE ONLYb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Item 8 - Item 9 - Item 10 - 5. Product type6. Mode7. Date removedbbb b.b*0614600W121805* e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) TOTAL INVOICED GALLONS FOR ALL PAGES (Enter on Item 2 of Texas Fuels Tax Report, Form 06-168)TOTAL INVOICED GALLONS(Sum of Item 10) FOR THIS PAGE ONLYb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Item 8 - Item 9 - Item 10 - 5. Product type6. Mode7. Date removedbbb b.b*0614600W121805* e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) TOTAL INVOICED GALLONS FOR ALL PAGES (Enter on Item 2 of Texas Fuels Tax Report, Form 06-168)TOTAL INVOICED GALLONS(Sum of Item 10) FOR THIS PAGE ONLYb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Item 8 - Item 9 - Item 10 - 5. Product type6. Mode7. Date removedbbb b.b*0614600W121805* TOTAL INVOICED GALLONS TOTAL INVOICED GALLONSFOR ALL PAGES (Enter on Item 2 of (Sum of Item 10) Texas Fuels Tax Report, Form 06-168)FOR THIS PAGE ONLYb e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 0 6-146Rev.12-18/5) ( a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or print Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckR= RailB= BargePL= Pipeline S= ShipBA= Book AdjustmentST= Stationary Transfer Item 7 - Item 8 - Item 9 - Item 10 - Item 1 - Item 2 - Item 3 - Item 4 - Item 5- Item 6 - Enter a valid character for mode of transportation. Use one of the following: J= TruckS= ShipR= RailBA= Book AdjustmentB= BargeST= Stationary Transfer PL= Pipeline Item 7 - Item 8 - Item 9 - Item 10 - 5. Product type6. Mode7. Date removedbbb b.b*0614600W121805* TOTAL INVOICED GALLONS TOTAL INVOICED GALLONSFOR ALL PAGES (Enter on Item 2 of (Sum of Item 10) Texas Fuels Tax Report, Form 06-168)FOR THIS PAGE ONLYb e. Taxpayer namef.b c. Taxpayer numberd. Filing periodbb ABCD 06-146(Rev.12-18/5) a.bTexas Schedule of Gallons Removed from IRS Registered Terminal - Texas Tax Paid (Item 2) 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb 5. Product type6. Mode7. Date removedbbb IType or prin