State Form 47737 Form Sf-900x - Amended Consolidated Special Fuel Monthly Tax Return - Indiana

Form State47737 is a Indiana Department of Revenue form also known as the "Form Sf-900x - Amended Consolidated Special Fuel Monthly Tax Return". The latest edition of the form was released in April 10, 2018 and is available for digital filing.

Download a PDF version of the Form State47737 down below or find it on Indiana Department of Revenue Forms website.

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Indiana Department of Revenue
Mailing/Contact Information:
Form
Indiana Department of
SF-900X
Amended Consolidated Special Fuel
Revenue
47737
State Form
Monthly Tax Return
Special Tax Division
(R10 / 4-18)
P.O. Box 6080
Indianapolis, IN 46206-6080
For the month of:______________ 20______
(317) 615-2630
fetax@dor.in.gov
This amended report must be filed to correct any previous report with an error or omission.
Name of License Holder (as indicated on license)
License Number (as indicated on license)
Mailing Address
FEIN/SSN
City
State
ZIP Code
Business Phone Number Contact Name
Section 1: Filing Types
This is a consolidated return for all license types listed below. Place an “X” in the box to the left of each license type for which you are
licensed.
Supplier
Permissive Supplier
Importer
Exporter
Blender
Dyed Fuel User
A
B
C
Previously
Amount of
Current
Reported
Change
Amount
Amount
Section 2: Computation of Special Fuel Tax Due
1 Total Receipts (From Section A, Line 5)
1
2 Total Non-taxable Disbursements (From Section B, Line 11)
2
3 Taxable Gallons Sold or Used (From Section B, Line 3)
3
4 Gallons Received Tax Paid (From Section A, Line 1)
4
5 Billed Taxable Gallons (Line 3 minus Line 4)
5
6 Tax Due (Mulitply Line 5 by the applicable rate from the
table)
6
7 Amount of Tax Uncollectible from Eligible Purchasers -
Complete Schedule 10E
7
8 Adjusted Tax Due (Line 6 minus Line 7)
8
9 Collection Allowance (Line 8 multiplied by .016. If return filed
or tax paid after due date enter zero (0).
9
10 Adjustment - Complete Schedule E-1 (Dollar amount only)
10
11 Total Special Fuel Tax Due (Line 8 minus Line 9 plus or
minus Line 10)
11
Section 3: Calculation of Oil lnspection Fee Due
1 Total Billed Gallons (From Section 2, Line 5)
1
2 Oil lnspection Fee Due (Multiply Line 1 by $0.01)
2
3 Adjustment (Schedule E-1 must be attached and is subject to
department approval)
3
4 Total Oil lnspection Fee Due (Line 2 plus or minus Line 3)
4
Indiana Department of Revenue
Mailing/Contact Information:
Form
Indiana Department of
SF-900X
Amended Consolidated Special Fuel
Revenue
47737
State Form
Monthly Tax Return
Special Tax Division
(R10 / 4-18)
P.O. Box 6080
Indianapolis, IN 46206-6080
For the month of:______________ 20______
(317) 615-2630
fetax@dor.in.gov
This amended report must be filed to correct any previous report with an error or omission.
Name of License Holder (as indicated on license)
License Number (as indicated on license)
Mailing Address
FEIN/SSN
City
State
ZIP Code
Business Phone Number Contact Name
Section 1: Filing Types
This is a consolidated return for all license types listed below. Place an “X” in the box to the left of each license type for which you are
licensed.
Supplier
Permissive Supplier
Importer
Exporter
Blender
Dyed Fuel User
A
B
C
Previously
Amount of
Current
Reported
Change
Amount
Amount
Section 2: Computation of Special Fuel Tax Due
1 Total Receipts (From Section A, Line 5)
1
2 Total Non-taxable Disbursements (From Section B, Line 11)
2
3 Taxable Gallons Sold or Used (From Section B, Line 3)
3
4 Gallons Received Tax Paid (From Section A, Line 1)
4
5 Billed Taxable Gallons (Line 3 minus Line 4)
5
6 Tax Due (Mulitply Line 5 by the applicable rate from the
table)
6
7 Amount of Tax Uncollectible from Eligible Purchasers -
Complete Schedule 10E
7
8 Adjusted Tax Due (Line 6 minus Line 7)
8
9 Collection Allowance (Line 8 multiplied by .016. If return filed
or tax paid after due date enter zero (0).
9
10 Adjustment - Complete Schedule E-1 (Dollar amount only)
10
11 Total Special Fuel Tax Due (Line 8 minus Line 9 plus or
minus Line 10)
11
Section 3: Calculation of Oil lnspection Fee Due
1 Total Billed Gallons (From Section 2, Line 5)
1
2 Oil lnspection Fee Due (Multiply Line 1 by $0.01)
2
3 Adjustment (Schedule E-1 must be attached and is subject to
department approval)
3
4 Total Oil lnspection Fee Due (Line 2 plus or minus Line 3)
4
A
B
C
Section 4: Calculation of Surcharge Tax Due
Previously
Amount of
Current
This section should only be used for reporting periods between
Reported
Change
Amount
July 1, 2017 and June 30, 2018.
Amount
1 Total Billed Gallons (From Section 2, Line 5)
1
2 Surcharge Tax Due (Multiply Line 1 by the applicable rate
from the table)
2
3 Adjustment (Schedule E-1 must be attached and is subject to
department approval)
3
4 Total Surcharge Tax Due (Line 2 plus or minus line 3)
4
Section 5: Calculation of Total Amount Due
1 Total Amount Due (Add Section 2 Line 11, plus Section 3
Line 4, plus Section 4 Line 4)
1
2 Penalty (Penatly must be added if report is filed after the due
date. 10% of tax due or $5.00, whichever is greater.)
2
3 Interest (Interest must be added if report is filed after the due
date.)
3
4 Net Tax Due (Add Line 1 plus Line 2 plus Line 3)
4
5 Payment(s)
5
6 Balance Due (Line 4 minus Line 5)
6
Signature Section
Under the penalty of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the
best of my knowledge and belief it is true, correct, and complete. I further declare that complete and proper records are on file at the
address indicated on the previous page for all fuel reported on this return.
Signature of Taxpayer or Authorized Agent: ____________________________________
Date:_____________________________
Typed or Printed Name: _____________________________
Title: __________________
Phone Number: __________________
Email Address: ______________________________________
A
B
C
Previously
Amount of
Current
Reported
Change
Amount
Amount
From
Use Whole
Use Whole Gallons
Use Whole
Section A: Receipts
Schedule
Gallons Only
Only
Gallons Only
1 Gallons Received Tax Paid
1
2 Gallons Received for Export (To be completed only by
licensed exporters)
2E
3 Gallons of Nontaxable Fuel Received and Sold or Used For
a Taxable Purpose
2K
4 Gallons Imported Via Truck, Barge, or Rail, Tax Unpaid
3
5 Total Receipts (Add Lines 1 through 4)
A
B
C
Previously
Amount of
Current
Reported
Change
Amount
Amount
Section B: Disbursements
From
Use Whole
Use Whole
Use Whole
Schedule
Gallons Only
Gallons Only
Gallons Only
1 Gallons Delivered Tax Collected and Gallons Blended or
Dyed Fuel Used
5
2 Diversions
11
3 Taxable Gallons Sold or Used (Line 1 +/- Line 2)
4 Gallons Delivered Via Rail, Pipeline, or Vessel to Licensed
Suppliers, Tax Not Collected
6
5 Gallons Disbursed on Exchange for Other Suppliers or
Permissive Suppliers
6X
6 Gallons Exported by License Holder
7
7 Gallons Sold to Unlicensed Exporters for Export
7A
8 Gallons Sold to Licensed Exporters for Export
7B
9 Gallons of Undyed Fuel Sold to the U.S. Government - Tax
Exempt
8
10 Gallons Sold of Tax Exempt Dyed Fuel
10
11 Total Non-Taxable Disbursements (Add Lines 4 through 10)
(Information Only) Reporting of IVP Numbers Given By the Department
IVP Number
IVP Payment
IVP Number
IVP Payment
1.
7.
2.
8.
3.
9.
4.
10.
5.
11.
6.
12.
Instructions for Completing
Amended Consolidated Special Fuel Monthly Tax Return (SF-900X)
Who should file this return?
Note: The amount of tax you owe should be increased by the
You should file this form if you are an Indiana licensed special fuel
penalty and interest due on late payments. Be certain you have
supplier, permissive supplier, exporter, importer, blender or dyed
completed Section 5, lines 2 and 3 to reflect any penalty and
fuel user and you need to amend or change a previously filed
interest due. Refer to
www.in.gov/dor/reference/files/dn03.pdf
Consolidated Special Fuel Monthly Tax Return, Form SF-900.
for interest rates. Licensed Indiana suppliers and permissive
suppliers must make all payments by Electronic Funds
Completing the Form
Transfer.
You should refer to the instructions for your original Consolidated
Special Fuel Monthly Tax Return, and related schedules, for the
Refund Due: If Column C, Section 5, line 4 is less than Column
tax period being amended.
C, Section 5, line 5, you are due a refund. Enter the amount
of your calculated refund as a negative number in Column C,
Enter your company’s identifying information on form SF-900X
Section 5, line 6.
and all accompanying schedules. Complete all information,
Sign your return, and be sure that it is mailed and postmarked
leaving nothing blank. It is critical that you use the same license
number on this report that is shown on your actual license. A
within the statute of limitations period. Your claim for refund will be
separate SF-900X must be filed for each tax period requiring an
processed within 90 days of receipt; your refund will be issued, or
amendment.
you will receive an explanation for why the refund was denied or
reduced.
Special Fuel Tax Rates Table
What is the Statute of Limitations Period for Refunds?
Transaction Date
Tax Rate
Generally, you have three (3) years from the date the fuel was
purchased and the tax paid to claim a refund.
Periods prior to July 1, 2017
$0.16 per gallon
July 1, 2017 through June 30, 2018
$0.26 per gallon
What if I Have Other Questions?
Periods on or after July 1, 2018
$0.48 per gallon
If you have other questions, contact our office by calling
(317) 615-2630. You may email us at fetax@dor.in.gov, or you can
write to us at:
Surcharge Tax Rates
Transaction Date
Tax Rate
Indiana Department of Revenue
Periods prior to July 1, 2017
Not Applicable
P.O. Box 6080
Indianapolis, IN 46206-6080
July 1, 2017 through June 30, 2018
$0.21 per gallon
Periods on or after July 1, 2018
Not Applicable
Column A: Complete column A by entering the amounts as
reported on your original tax return, or as previously amended.
(If previously amended, column A will be the amounts reported in
column C of the previously filed amended return.)
Column B: Use this column to report changes in line amounts
from those previously reported. Changes in column B must
be documented by attaching the corresponding schedules, as
amended. If there is no change to a particular line entry, enter
zero (-0-).
Column C: This column is calculated by changing the amounts
reported in column A according to any changes made in Column
B. All lines must be completed even if some lines do not change.
Amount Due: If Column C, Section 5, line 4 is greater than
Column C, Section 5, line 5, you owe additional tax. Enter this
amount in Column C, Section 5, line 6. This is the amount of tax
due.

Download State Form 47737 Form Sf-900x - Amended Consolidated Special Fuel Monthly Tax Return - Indiana

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