N.H. Admin. Code § Saf-C 311.04 - Forms MFD Schedule of Disbursements 5, 5X, 6, 6F, 7, 8 and 9

(a) An applicant shall submit the following on forms MFD schedules 5, 5X, 6, 6F, 7, 8 and 9:

(1) Distributor's name, license number and federal employer identification number;

(2) Schedule numbers as listed below:

a. MFD schedule #5 - Gallons delivered - taxable;

b. MFD schedule #5X - Gallons delivered to Air Carriers at a lower tax rate;

c. MFD schedule #6 - Gallons delivered to New Hampshire licensed distributors;

d. MFD schedule #6F - Gallons of dyed diesel and dyed kerosene sold for tax exempt purposes;

e. MFD schedule #7 - Gallons exported;

f. MFD schedule #8 - Gallons delivered to US Gov't Armed Forces (Bulk) tax exempt; or

g. MFD schedule #9 - Gallons delivered to State/Local Gov't (Bulk) tax exempt;

(3) Product type;

(4) Date, including month and year;

(5) List of shipments, including:

a. Carrier name and federal employer identification number;

b. Mode of transportation;

c. Points of origin and destination, both city and state;

d. Purchaser's name and federal employer identification number;

e. Date delivered;

f. Document number;

g. Gross gallons; and

h. Net gallons; and

(6) Page total.

Notes

N.H. Admin. Code § Saf-C 311.04

(See Revision Notes #1 and #2 at chapter heading for Saf-C 300) #10032, eff 11-22-11

Amended by Volume XXXVIII Number 19, Filed May 10, 2018, Proposed by #12520, Effective 4/25/2018, Expires 4/25/2028.