Wyoming Distributor, Importer, Exporter

Monthly Fuel Tax Return

Schedule Directions

Schedule of Receipts

Company Name

FEIN

Schedule Type

Fuel Type

Month/Year

  1. Carrier Name
  1. Carrier FEIN/SSN
  1. Mode

Point of Origin

Point of Destination

  1. Acquired From
  1. Seller’s FEIN/SSN
  1. Date Received
  1. Document Number
  1. Net Gallons
  1. Gross Gallons
  1. Billed Gallons

The name of the company filing the tax return should be on each page of the schedules.

Record the first nine digits of the current Wyoming license number of the company filing the tax return on each page of the schedules.

Identify the type of schedule (1A, 2, 2B, 2C, or 2E) you are filing. These numbers are located on the top left-hand side of the schedule form. Schedule type must be indicated on each page. Use only one schedule type per page.

Identify the type of fuel you are reporting. Fuel type must be indicated on each page. Use only one fuel type per page.

Record the current report month and year. Please use the following format: CCYYMM. For example: Use 201107 for July 2011.

Enter the name of the company that transports the product.

Enter the FEIN/SSN of the company that transports the product.

Record the mode of transport. Use one of the following codes:

J = Truck R= Rail PL = Pipeline

The origin of a product is where you take possession of the product. Use the IRS Terminal Control Code if product is pulled from a terminal rack. Provide city, town, or county for Wyoming locations or U. S. Postal Service State abbreviations if product is pulled from other than a terminal rack.

The destination is the location where the product comes to rest or ownership transfers. Use the IRS Terminal Control Code if ownership transfers at the rack. Provide city, town, or county for the Wyoming location. This location is the actual location of the customer’s bulk storage. For bulk deliveries to Wyoming airports, use the four-digitcode from the list provided by WYDOT. For example: Cheyenne Airport is 0230.

Enter the name of the company from whom the product was acquired (seller).

Enter the nine-digit FEIN/SSN of the company from whom the product was acquired.

Enter the date the product was pulled from a terminal or bulk plant, CCYYMMDD. For example: Use 20130715 for July 15, 2013.

Enter the identifying number from the manifest/bill of lading issued at the terminal when product is removed over the rack. Use invoice number only when removed from location other than a terminal.

Record the net amount of gallons received.

Record the gross amount of gallons received.

Record the gallons that you were billed. These must equal either the net or gross gallons. Carry forward total gross gallons to the cover sheet.

Schedule of Disbursements

Company Name

FEIN

Schedule Type

Fuel Type

Month/Year

  1. Carrier Name
  1. Carrier FEIN/SSN
  1. Mode

Point of Origin

Point of Destination
  1. Sold To
  1. Purchaser’s FEIN/SSN
  1. Date Sold
  1. Document Number
  1. Net Gallons
  1. Gross Gallons
  1. Billed Gallons

The name of the company filing the tax return should be on each page of the schedules.

Record the first nine digits of the current Wyoming license number of the company filing the tax return on each page of the schedules.

Identify the type of schedule (5, 6, 6B, 7, or 7B) you are filing. These numbers are located on the top left-hand side of the schedule form. Schedule type must be indicated on each page. Use only one schedule type per page. You must provide a separate schedule for each state of export when filing Schedule 7 or 7B. Note: When reporting disbursements that have been splash blended, both BOL’s (blending component and motor fuel) must be reported on the disbursement schedule for the product code of the end product. For example: If ethanol and gasoline are purchased, and you are the blender, include the blending component BOL and the gasoline BOL on the disbursement schedule for gasohol.

Identify the type of fuel you are reporting. Fuel type must be indicated on each page. Use only one fuel type per page.

Record the current report month and year. Please use the following format: CCYYMM. For example: Use 201307 for July 2013.

Enter the name of the company that transports the product.

Enter the FEIN/SSN of the company that transports the product.

Record the mode of transport. Use one of the following codes:

J = Truck R= Rail PL = Pipeline

The origin of a product is where you take possession of the product. Use the IRS Terminal Control Code if product is pulled from a terminal rack. Provide city, town, or county for Wyoming locations or U. S. Postal Service State abbreviations if product is pulled from other than a terminal rack.

Use the IRS Terminal Control Code if ownership transfers at the rack. Provide city, town, or county for the Wyoming locations or U. S. Postal Service State abbreviations for locations outside Wyoming (Schedules 7 and 7B) where the fuel is delivered or stored. This location is the actual location of the customer’s bulk storage. Bulk deliveries to your own retail locations must be reported load-by-load. If retail, card or key lock facilities are directly fed by your bulk plant, you may lump the sales for the report period. For bulk deliveries to Wyoming airports, use the four-digitcode from the list provided by WYDOT. For example: Cheyenne Airport is 0230.

Record the name of the company to whom the product was sold.

Record the nine-digit FEIN/SSN of the company to whom the product was sold.

Record the date the product was pulled from a terminal or bulk plant. Please use CCYYMMDD. For example: Use 20130715 for July 15, 2013.

Enter the identifying number from the manifest/bill of lading issued at the terminal when product is removed over the rack. Use invoice number only when removed from location other than a terminal.

Record the net amount of gallons sold.

Record the gross amount of gallons sold.

Record the gallons (must equal either the net or gross gallons) that you billed your customer.