Form GT-103 (State Form 55531) "Gasoline Use Tax" - Indiana

What Is Form GT-103 (State Form 55531)?

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

Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the Indiana Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form GT-103 (State Form 55531) by clicking the link below or browse more documents and templates provided by the Indiana Department of Revenue.

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Download Form GT-103 (State Form 55531) "Gasoline Use Tax" - Indiana

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Form
Indiana Department of Revenue
GT-103
Gasoline Use Tax
State Form 55531
Due Date _____________________
(R4 / 6-15)
This Return Must Be Filed Even if There Is No Activity to Report
Taxpayer Name
Taxpayer Identification Number (TID)
Filing Period
Address
City
State
ZIP Code
1. Total Gallons Sold for Period .................................................................................................
1
2. Total Exempt Gallons Sold for Period ....................................................................................
2
3. Total Taxable Gallons Sold (Line 1 minus Line 2) ..................................................................
3
4. Gasoline Use Tax Due. (Line 3 multiplied by the current rate. See Departmental Notice #2
for the current rate.) ...............................................................................................................
4
5. Collection Allowance. Do not calculate this allowance if your return and payment are late.
The rate is 0.73% if the gasoline use tax liability accrued during the state fiscal year ending
on June 30 of the immediately preceding calendar year did not exceed $60,000. The rate
is .53% if the liability was greater than $60,000 but less than or equal to $600,000. The rate
is .26% if the liability exceeded $600,000 ..............................................................................
5
6. Net Gasoline Use Tax Due. Subtotal of use tax and collection allowance.
(Line 4 minus Line 5) .............................................................................................................
6
7. Penalty Due. If late, the penalty is 10% of the tax due on Line 6 or $5, whichever is greater. 7
8. Interest Due. If late, multiply Line 6 by the interest rate (see Departmental Notice #3) .........
8
9. Electronic Funds Transfer Credit ...........................................................................................
9
10. Adjustments. If negative entry, use a negative sign. (You must provide an explanation and
supporting documentation to the Fuel Tax section.) .............................................................. 10
11. Total Amount Due. (Add Lines 6 through 8, subtract Line 9, add Line 10) ............................. 11
Under penalty of perjury, I have examined this return and all attachments and to the best of my knowledge and belief, it is
true, complete, and correct.
________________________________
______________________
____________
__________________
Authorized Signature
Title
Date
Telephone Number
Form
Indiana Department of Revenue
GT-103
Gasoline Use Tax
State Form 55531
Due Date _____________________
(R4 / 6-15)
This Return Must Be Filed Even if There Is No Activity to Report
Taxpayer Name
Taxpayer Identification Number (TID)
Filing Period
Address
City
State
ZIP Code
1. Total Gallons Sold for Period .................................................................................................
1
2. Total Exempt Gallons Sold for Period ....................................................................................
2
3. Total Taxable Gallons Sold (Line 1 minus Line 2) ..................................................................
3
4. Gasoline Use Tax Due. (Line 3 multiplied by the current rate. See Departmental Notice #2
for the current rate.) ...............................................................................................................
4
5. Collection Allowance. Do not calculate this allowance if your return and payment are late.
The rate is 0.73% if the gasoline use tax liability accrued during the state fiscal year ending
on June 30 of the immediately preceding calendar year did not exceed $60,000. The rate
is .53% if the liability was greater than $60,000 but less than or equal to $600,000. The rate
is .26% if the liability exceeded $600,000 ..............................................................................
5
6. Net Gasoline Use Tax Due. Subtotal of use tax and collection allowance.
(Line 4 minus Line 5) .............................................................................................................
6
7. Penalty Due. If late, the penalty is 10% of the tax due on Line 6 or $5, whichever is greater. 7
8. Interest Due. If late, multiply Line 6 by the interest rate (see Departmental Notice #3) .........
8
9. Electronic Funds Transfer Credit ...........................................................................................
9
10. Adjustments. If negative entry, use a negative sign. (You must provide an explanation and
supporting documentation to the Fuel Tax section.) .............................................................. 10
11. Total Amount Due. (Add Lines 6 through 8, subtract Line 9, add Line 10) ............................. 11
Under penalty of perjury, I have examined this return and all attachments and to the best of my knowledge and belief, it is
true, complete, and correct.
________________________________
______________________
____________
__________________
Authorized Signature
Title
Date
Telephone Number
Instructions for Completing Form GT-103
1. Enter the total number of gallons sold for the period. Round to the nearest gallon.
2. Enter the total number of gallons sold where the gasoline use tax was not collected. Round to the nearest gallon.
3. Total taxable gallons sold. Line 1 minus Line 2.
4. Gasoline use tax due. Line 3 multiplied by the current gasoline use tax rate. For current rate, please see Departmental
Notice #2.
5. Collection allowance can only be taken if your return and payment are timely. Notice of your collection allowance rate
is set annually by the department. Should you have questions regarding your rate please contact the department at
(317) 615-2630.
6. Net gasoline use tax due. Line 4 minus Line 5.
7. Calculate any penalty due. The penalty is 10% of the tax due on Line 6 or $5, whichever is greater.
8. Calculate any interest due on the amount on Line 6. The daily interest equals the annual interest rate divided by 365
times the amount due on Line 6. Interest is computed from the due date of the return.
9. Electronic Funds Transfer Credit. Enter the amount paid by EFT for this tax period. If the GT-103 is being filed before
the payment is made, claim the payment that will be made for this tax period.
10. Enter any adjustments here. If the amount is negative please indicate with a negative sign. All entries in the adjust-
ment line are subject to review. Failure to provide documentation as required by the department may result in addi-
tional amounts due.
11. Enter the total amount due for the period. (Add Lines 6 through 8, subtract Line 9, add Line 10)
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