Indiana > Statewide > Department Of Revenue > Fuel And Environmental > Gasoline

Amended Consolidated Gasoline Monthly Tax Return MF-360X - Indiana

Amended Consolidated Gasoline Monthly Tax Return Form. This is a Indiana form and can be used in Gasoline Fuel And Environmental Department Of Revenue Statewide .
 Fillable pdf Last Modified 11/11/2009
Get this form for FREE as a print-only pdf

Indiana Department of Revenue MF-360X State Form 49875 (R7/02-06) Amended Consolidated Gasoline Monthly Tax Return Due date is the 20th of the following month. For the month of:_________________ 20_____ Name of License Holder (as indicated on license) Mailing Address City or Town State Zip Code License Number (as indicated on license) FEIN/SSN Business Telephone Number Contact Name ( Section 1: Filing Types ) This is a consolidated return for all license types listed below. Place an "X" in the box to the left of each license type for which you are licensed. Gasoline Oil Inspection Distributor A As Reported or Last Determined Gasohol Blender B Amount of Change Supporting Schedule Must Be Attached C Current Amount Section 2: Calculation of Gasoline Taxes Due 1. 2. 3. 4. 5. 6. 7. 8. 9. Total Receipts (From Section A, Line 7; Column D, on Back of Return) Total Non-Taxable Disbursements (From Section B, Line 9; Column D, on Back of Return) Gallons Received, Gasoline Tax Paid (From Section A, Line 1; Column A, on Back of Return) Billed Taxable Gallons (Line 1 minus Line 2 minus Line 3) Licensed Gasoline Distributor Deduction (Multiply Line 4 by .016) Billed Taxable Gallons (Line 4 minus Line 5) Gasoline Tax Due (Multiply Line 6 by rate on tax chart one (1) in instructions) Adjustments (Schedule E-1 must be attached and is subject to Department approval) Total Gasoline Tax Due (Line 7 plus or minus Line 8) 1. 2. 3. 4. 5. 6. 7. + 8. 9. Section 3: Calculation of Oil Inspection Fees Due 1. 2. 3. 4. 5. 6. 7. Total Receipts (From Section A, Line 8; Column D, on Back of Return) Total Non-Taxable Disbursements (From Section B, Line 10; Column D, on Back of Return) Gallons Received, Oil Inspection Fee Paid (From Section A, Line 1; Columns D, on Back of Return) Billed Taxable Gallons (Line 1 minus Line 2 minus Line 3) Oil Inspection Fees Due (Multiply Line 4 by rate on tax chart two (2) in instructions) Adjustments (Schedule E-1 must be attached and is subject to Department approval) Total Oil Inspection Fees Due (Line 5 plus or minus Line 6) 1. 2. 3. 4. 5. + 6. 7. Section 4: Total Amount Due Calculation 1. 2. 3. 4. 5. Total Amount Due (Section 2, Line 9 plus Section 3, Line 7) Penalty Interest (Penalty must be added if report is filed after the due date. 10% of tax due or $5.00, whichever is greater. Five Dollars ($5.00) is due on a late report showing no tax due.) (Interest must be added if report is filed after the due date. Contact the Department for daily interest rates.) 1. 2. 3. 4. 5. Net Tax Due (Line 1 plus Line 2 plus Line 3) Payment(s) 6. Balance Due (Line 4 Minus Line 5) For Department Use Only Check Check Amount: Number: 7. 6. 7. Gallons of Gasoline Sold to Taxable Marinas A B C Make checks payable to Indiana Department of Revenue and mail to: P.O. Box 510, Indianapolis, Indiana 46206-0510. Include your License Number on check. Under penalty of perjury, I declare that I have examined this return, including accompanying schedules and statements, and, to the best of my knowledge and belief it is true, correct and complete. Taxpayer or Authorized Agent Type or Print Name Title Date Signed Telephone Number ( ) Please Check Box If Last Filing Date Business Closed / / American LegalNet, Inc. www.FormsWorkflow.com Enter the corrected total amount of gallons on this page. Section A: Receipts 1. 2. 3. 4. 5. 6. 7. 8. Gallons received, excise tax paid Gallons received from licensed distributors or oil inspection distributors, tax unpaid Gallons of non-taxable fuel received and sold or used for a taxable purpose Gallons received from licensed distributors on exchange agreements, tax unpaid Gallons imported directly to customer Gallons imported into own storage Total receipts - add Lines 1-6, carry total Column D to, Section 2, Line 1 on front Total receipts - add Lines 1-6, Carry total Column D to, Section 3, Line 1 on front From Schedule From Schedule Gasoline/ Aviation Gasoline/Gasohol A K-1/K-2 Kerosene B All Other Products C Totals D 1A 2 2K 2X 3 4 Section B: Disbursement 1. 2. 3. 4. 5. 6. 7. 8. Gallons delivered, tax collected Gallons sold to licensed distributors, tax not collected Gallons disbursed on exchange Gallons exported (must be filed in duplicate) Gallons delivered to U.S. Government - tax exempt Gallons delivered to licensed marina fuel dealers Gallons delivered to licensed aviation fuel dealers Miscellaneous deduction - theft/loss Gasoline/ Aviation Gasoline/Gasohol A K-1/K-2 Kerosene B All Other Products C Totals D 5 6D 6X 7 8 10A 10B E-1 E-1 8a. Miscellaneous deduction - off road, other 9. Total non-taxable disbursements - add Lines 2-8a, carry total to Section 2, Line 2 on front. 10. Total non-taxable disbursements - add Lines 2-5, carry total to Section 3, Line 2 on front American LegalNet, Inc. www.FormsWorkflow.com Instructions for completing Consolidated Gasoline Monthly Tax Return (MF-360X) Who should file this return? You should file this form if you are an Indiana licensed gasoline distributor, oil inspection distributor, or gasohol blender and you need to amend or change a previously filed Consolidated Gasoline Monthly Tax Return, Form MF-360. If you have made a calculation error on your return you do not need to file an amendment. The department will make changes for you and will let you know the results. Amount Due: If Section 4, Column C, Line 4 is greater than Section 4, Column C, Line 5, you owe additional tax. Enter this amount of tax due in Section 4, Column C, Line 6 and enclose your payment for the same. Caution: The amount of tax you owe must include penalty and interest due on late payments. Be certain you have completed Section 4, Column C, Lines 2 & 3, to reflect any penalty and interest due. If money is owed on an amended return you should subtract the amount of collection allowance from gallons amended. Refund Due: If Section 4, Column C, Line 4 is less than Section 4, Column C, Line 5, you are due a refund. Enter the amount of your calculated refund in Section 4, Column C, Line 6 in brackets (example). Sign your return, and ensure that it is mailed to us and postmarked within the required statute of limitations period. We will process your claim within 90 days of receipt, issue your refund, or explain why your claim is denied or reduced. Completing the Form You should refer to the instructions for your original Consolidated Gasoline Monthly Tax Return, and related schedules, for the tax period being amended. Enter your company's identifying inform
Link/Embed this Document
URL
Embed


Popular Searches

  1. child custody
  2. affidavit of service
  3. complaint
  4. Power of Attorney
  5. JUDGMENT
  6. answer
  7. default judgment
  8. certificate of service
  9. child support
  10. answer to complaint

Bookmark and Share