Form EPRF-1 "Environmental Protection Regulatory Fee Return" - Rhode Island

What Is Form EPRF-1?

This is a legal form that was released by the Rhode Island Department of Revenue - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2013;
  • The latest edition provided by the Rhode Island Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form EPRF-1 by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Revenue.

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Download Form EPRF-1 "Environmental Protection Regulatory Fee Return" - Rhode Island

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State of Rhode Island and Providence Plantations
Form EPRF-1
Environmental Protection Regulatory Fee Return
Name
Federal employer identification number
Address
For the quarter ending:
MM/DD/YYYY
Address 2
Distributor number
City, town or post office
State
ZIP code
E-mail address
Schedule A - Computation of Amount Due:
Net taxable sales in gallons from Form MFT-1, line 16 or Form T-12, line 4...........................................
1
1
2
Total gallons not subject to fee from Schedule B.....................................................................................
2
3
Total gallons subject to fee. Subtract line 2 from line 1...........................................................................
3
4
4
Environmental protection regulatory fee due. Multiply line 3 by $0.01...................................................
INSTRUCTIONS
Filing Date:
This return is to be filed with payment to the Rhode Island Division of Taxation on or before the 20th day of the month following the
close of the calendar quarter for all fees imposed under RI Gen Laws 46-12.9-11.
Schedule A - Computation of Amount Due
Line 3: Total Gallons Subject to Fee - Subtract line 2 from
Line 1: Net Taxable Sales in Gallons - Enter the net amount of
line 1.
taxable gallons from Form MFT-1, Motor Fuel Distributor
Tax Report, line 16, or Form T-12, Special Distributor Tax
Line 4: Environmental Protection Regulatory Fee Due -
Report, line 4.
Multiply line 3 by $0.01.
Line 2: Total Gallons Not Subject to Fee - Enter the total
gallons not subject to the regulatory fee from Schedule B.
Schedule B - Sales Not Subject to Fee
Sales of propane, heating oil, used/waste oil, marine diesel, aviation fuel, and other products not subject to the fee must be shown. A
computer generated printout containing the same information may be submitted with the return in lieu of Schedule B. The total gallons
of both gasoline and diesel not subject to the fee are to be combined and entered on Schedule A, line 2.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Authorized officer signature
Print name
Date
Telephone number
Paid preparer signature
Print name
Date
Telephone number
Paid preparer address
City, town or post office
State
ZIP code
PTIN
May the Division of Taxation contact your preparer? YES
State of Rhode Island and Providence Plantations
Form EPRF-1
Environmental Protection Regulatory Fee Return
Name
Federal employer identification number
Address
For the quarter ending:
MM/DD/YYYY
Address 2
Distributor number
City, town or post office
State
ZIP code
E-mail address
Schedule A - Computation of Amount Due:
Net taxable sales in gallons from Form MFT-1, line 16 or Form T-12, line 4...........................................
1
1
2
Total gallons not subject to fee from Schedule B.....................................................................................
2
3
Total gallons subject to fee. Subtract line 2 from line 1...........................................................................
3
4
4
Environmental protection regulatory fee due. Multiply line 3 by $0.01...................................................
INSTRUCTIONS
Filing Date:
This return is to be filed with payment to the Rhode Island Division of Taxation on or before the 20th day of the month following the
close of the calendar quarter for all fees imposed under RI Gen Laws 46-12.9-11.
Schedule A - Computation of Amount Due
Line 3: Total Gallons Subject to Fee - Subtract line 2 from
Line 1: Net Taxable Sales in Gallons - Enter the net amount of
line 1.
taxable gallons from Form MFT-1, Motor Fuel Distributor
Tax Report, line 16, or Form T-12, Special Distributor Tax
Line 4: Environmental Protection Regulatory Fee Due -
Report, line 4.
Multiply line 3 by $0.01.
Line 2: Total Gallons Not Subject to Fee - Enter the total
gallons not subject to the regulatory fee from Schedule B.
Schedule B - Sales Not Subject to Fee
Sales of propane, heating oil, used/waste oil, marine diesel, aviation fuel, and other products not subject to the fee must be shown. A
computer generated printout containing the same information may be submitted with the return in lieu of Schedule B. The total gallons
of both gasoline and diesel not subject to the fee are to be combined and entered on Schedule A, line 2.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Authorized officer signature
Print name
Date
Telephone number
Paid preparer signature
Print name
Date
Telephone number
Paid preparer address
City, town or post office
State
ZIP code
PTIN
May the Division of Taxation contact your preparer? YES
State of Rhode Island and Providence Plantations
Form EPRF-1
Environmental Protection Regulatory Fee Return
Name
Federal employer identification number
Schedule B - Sales Not Subject to Fee
Gallons
Sold to
Address
Invoice Number
Invoice Date
Gas
Total gallons of gas. Add all amounts in the “Gas” column.
Total gallons of diesel. Add all amounts in the “Diesel” column.
Total of all gallons. Add the total gallons of gas and diesel. Enter here and on page 1, Sch A, line 2
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