Terminal Operators Schedule Of Receipts
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Terminal Operators Schedule Of Receipts Form. This is a Indiana form and can be use in Department Of Revenue Statewide.
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Tags: Terminal Operators Schedule Of Receipts, Schedule 501A, Indiana Statewide, Department Of Revenue
SF# 49088
(R3 \ 12-08)
Schedule 501A
Terminal Operator’s Schedule of Receipts
Terminal Operator Name
License Number
FEIN
Terminal Code
Month/Year
You may photocopy this blank schedule for future filings. Attach additional sheets if necessary.
Please see the product code matrix on the Web site at www.in.gov/dor/reference/files/code-matrix.pdf
Position Holder Information
Transporter Information
(1)
Name
(2)
FEIN
(3)
Mode
(4)
Name/
Address
(5)
FEIN
(6)
Document
Date
(7)
Document
Number
(8)
Net
Gallons
Total
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J
R
ST
S
=
=
=
=
Truck
Rail
Stock Transfer
Ship (Great Lakes or Ocean Vessel)
P L = Pipeline
B = Barge
BA = Book Adjustment
FT-501I, Column 4.
NOTE: You must subtotal by position holder on the Schedule 501A and carry these subtotals to Schedule
The Position Holder is the person who owns/leases storage space in the terminal.
Column 8: Enter the net gallons received. The grand total of all Schedule 501A, Column 8, should be carried to
the FT-501, Terminal Operator’s Monthly Return.
Columns 4, 5, 6 and 7: Enter the position holder’s information as well as the shipping document date and
number.
Column 3: Enter the mode of transport. One of the following codes should be used for each entry.
Columns 1 and 2: Enter the name and Federal Employer’s Identification Number (FEIN) of the company that
transports the fuel. This may be you.
Column Instructions:
Enter your identifying information as it is reflected on your Indiana Fuel Tax License.
(Be certain to complete a separate schedule for each fuel product type that you check.)
Before You Begin:
Instructions for Completing
Terminal Operator’s Schedule of Receipts
Schedule 501A
