Schedule Of Uncollectable Tax From Eligible Purchasers
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Schedule Of Uncollectable Tax From Eligible Purchasers Form. This is a Indiana form and can be use in Department Of Revenue Statewide.
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Schedule 10E
Schedule of Uncollectible Tax from Eligible Purchasers
SF# 49084
(R3 / 12-08)
Schedule Type (Check One)
□1
□ 2E
□ 2K
□ 3
Fein
License Number
Company Name
Month / Year
You may photocopy this blank schedule for future filings. Attach additional sheets if necessary.
Gallons Received, Tax Paid, (Special Fuel Returns Only)
Please see the product code matrix on the Web site at
www.in.gov/dor/reference/files/code-matrix.pdf
Gallons Received for Export (Special Fuel Exporter Only)
Gallons of Non-Taxable Fuel Received and Sold or Used for a Taxable Purpose
Gallons Imported Via Truck, Barge, or Rail, Tax Unpaid
Eligible Purchaser
(6)
Name
(7)
FEIN
(8)
Date of
Transaction
(9)
Document
Number
(10)
Billed
Gallons
Total
(11)
Unpaid Indiana
Special Fuel Taxes
$
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Column 11: Enter the amount of unpaid Indiana Special Fuel taxes. Carry this total to the SF-900, Line 7.
Column 10: Enter the number of gallons billed on which the tax was uncollectible.
Column 9: Enter the document number to which the uncollectible tax pertains.
Column 8: Enter the date of the transaction to which the uncollectible tax pertains.
Columns 6 and 7: Enter the name, address, and Federal Identification Number (FEIN) of the Eligible
purchaser from whom the tax is uncollectible.
Column instructions:
Enter the identifying information as it is reflected on your Indiana Special Fuel License. Be certain to complete
a separate schedule for each fuel product type that you circle.
Before you begin:
Example: Tax due from ABC Oil Company for a sale on February 10, 2002, must be remitted to you by March
15, 2002. If this payment was not received by you before the next return due date, it becomes uncollectible and
may be claimed as a deduction on your March return, due April 15, 2002. This deduction is limited to the amount
due from the purchaser, plus any tax that accrues from that purchaser for a period of ten (10) days following the
date of failure to pay.
Only licensed Suppliers and Permissive Suppliers are eligible to file this schedule. A licensed Supplier or Permissive
Supplier is entitled to take a deduction on Form SF-900 Line 7, for the amount of Indiana special fuel tax that has
become uncollectible from an Eligible Purchaser.
Who should file this schedule?
Instructions for Completing
Schedule of Uncollectible Tax
from Eligible Purchasers
Schedule 10E
