Form GT5 "Gasoline Distributor Tax Return" - Maine

What Is Form GT5?

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

Form Details:

  • Released on July 1, 2015;
  • The latest edition provided by the Maine Department of Administrative and Financial Services;
  • 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 GT5 by clicking the link below or browse more documents and templates provided by the Maine Department of Administrative and Financial Services.

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Download Form GT5 "Gasoline Distributor Tax Return" - Maine

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GAS
Maine Revenue Services
00
Gasoline Distributor Tax Return
*1208000*
Registration No.
Period Begin
Due Date
Period End
1. Entity Information
2.
OUT OF BUSINESS?
Date closed:
3.
OWNERSHIP OR NAME CHANGE?
Date
Explanation
4.
SOLD? Date
5.
Check here if this is an AMENDED return
ADDRESS CHANGE? Make corrections above and check here
Do Not Use Red Ink!
Receipts
Beginning Inventory
1.
Gallons Received - Tax Paid
Sch 1
2.
Gallons Received - Tax Unpaid
Sch 2
3.
Gallons Imported - Direct to Customer
Sch 3
4.
Gallons Imported - Bulk Storage
Sch 4
5.
Total Receipts (total lines 2 through 5)
6.
Available Gallons (line 1 plus line 6)
7.
Ending Inventory
8.
Accountable Gallons (line 7 minus line 8)
9.
Sales
Total Gallons Sold and Used
10.
Exports
Sch 7
11.
Sales to Licensed Distributors
Sch 6
12.
Bulk Sales to United States Government
Sch 8
13.
Bulk Sales to Agencies or Political Subs of this State
Sch 9
14.
Jet Fuel for International Flights
Sch 10
15.
Total Exempt Sales - (add lines 11 though 15)
16.
Taxable Gallons - (line 10 minus line 16)
17.
For assistance in completing this form, call (207) 624-9609
GT5 Revised 07/01/2015
GAS
Maine Revenue Services
00
Gasoline Distributor Tax Return
*1208000*
Registration No.
Period Begin
Due Date
Period End
1. Entity Information
2.
OUT OF BUSINESS?
Date closed:
3.
OWNERSHIP OR NAME CHANGE?
Date
Explanation
4.
SOLD? Date
5.
Check here if this is an AMENDED return
ADDRESS CHANGE? Make corrections above and check here
Do Not Use Red Ink!
Receipts
Beginning Inventory
1.
Gallons Received - Tax Paid
Sch 1
2.
Gallons Received - Tax Unpaid
Sch 2
3.
Gallons Imported - Direct to Customer
Sch 3
4.
Gallons Imported - Bulk Storage
Sch 4
5.
Total Receipts (total lines 2 through 5)
6.
Available Gallons (line 1 plus line 6)
7.
Ending Inventory
8.
Accountable Gallons (line 7 minus line 8)
9.
Sales
Total Gallons Sold and Used
10.
Exports
Sch 7
11.
Sales to Licensed Distributors
Sch 6
12.
Bulk Sales to United States Government
Sch 8
13.
Bulk Sales to Agencies or Political Subs of this State
Sch 9
14.
Jet Fuel for International Flights
Sch 10
15.
Total Exempt Sales - (add lines 11 though 15)
16.
Taxable Gallons - (line 10 minus line 16)
17.
For assistance in completing this form, call (207) 624-9609
GT5 Revised 07/01/2015
Maine Revenue Services
00
Gasoline Distributor Tax Return
Page 2
*1208001*
Tax Computation
Gallons
Tax
Taxable Sales of Gasoline
Sch 5
18.
@ $.300
Taxable Sales of E10
Sch 5
19.
@ $.300
Taxable Sales of __________________
Sch 5
20.
@ ______
Taxable Sales of Aviation Gas
Sch 5
21.
@ $.300
Taxable Sales of Jet Fuel
Sch 5
22.
@ $.034
Total Taxable Gallons Sold
(must equal line 17)
23.
Net Excise Tax Due
(total lines 18 thru 22)
24.
Dealer Credit Card Sales to U.S. Government
Sch 22
25.
Excise Tax Paid Purchases
Sch 1
26.
Credit from Prior Period
27.
Amount Due
Line 24 less lines 25, 26 and 27. Use line 29 if result is a credit.
28.
Must equal lines 30+31+32
Credit Due
If line 24 minus lines 25, 26 and 28 is a credit, enter the amount to the right.
29.
Must equal lines 30+31+32.
If you wish a refund rather than a carry forward to the next period, check here.
Net Excise Tax - Gasoline
(Total lines 18 & 20)
30.
Net Excise Tax - Aviation Fuel
(Total line 21)
31.
Net Excise Tax - Jet Fuel
(Total line 22)
32.
Make check or money order payable to the STATE TREASURER and send your remittance with your return postmarked by the due date printed on
the top of the return to MAINE REVENUE SERVICE, P.O. BOX 1065, AUGUSTA, ME 04332-1065. Please record your registration number
on your check. Failure to file a return on or before the due date will result in interest and penalty charges. Billings will be issued shortly after the
processing of your return. A return must be filed even if there were no sales or purchases during the period.
Print Name
Signature/Title
Date
Phone #
GT-5 Revised 07/01/2015
For assistance in completing this form, call (207) 624-9609
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