Form CDTFA-810-FTG "Receipt Schedule" - California

What Is Form CDTFA-810-FTG?

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

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the California Department of Tax and Fee Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CDTFA-810-FTG by clicking the link below or browse more documents and templates provided by the California Department of Tax and Fee Administration.

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Download Form CDTFA-810-FTG "Receipt Schedule" - California

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STATE OF CALIFORNIA
CDTFA-810-FTG REV. 3 (9-17)
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
RECEIPT SCHEDULE
(If additional space is needed, please photocopy the schedule before making entries.)
Page
of
(a) COMPANY NAME
(b) ACCOUNT NUMBER
(c) SCHEDULE CODE
(d) PRODUCT CODE
(e) MONTH/YEAR
* For detailed information regarding the use and preparation of these schedules, see form CDTFA-810-FTE, Instructions for Preparing Motor Fuels Schedules, available on our website at
www.cdtfa.ca.gov/formspubs/cdtfa810fte.pdf.
For a list
of product codes, see form CDTFA-810-FTB, Product Code Table, available on our website at
www.cdtfa.ca.gov/formspubs/cdtfa810ftb.pdf.
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
CARRIER FEIN
MODE
POINT OF
ACQUIRED FROM
SELLER'S FEIN
DOCUMENT
DOCUMENT
NET
GROSS
BILLED
TAX
PURCHASE
CARRIER NAME
DATE
NUMBER
GALLONS
GALLONS
GALLONS
RATE
DATE
(Seller's Name)
ORIGIN
DESTINATION
(TCN or
(TCN or
State/Province)
State/Province)
TOTAL
CLEAR
PRINT
STATE OF CALIFORNIA
CDTFA-810-FTG REV. 3 (9-17)
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
RECEIPT SCHEDULE
(If additional space is needed, please photocopy the schedule before making entries.)
Page
of
(a) COMPANY NAME
(b) ACCOUNT NUMBER
(c) SCHEDULE CODE
(d) PRODUCT CODE
(e) MONTH/YEAR
* For detailed information regarding the use and preparation of these schedules, see form CDTFA-810-FTE, Instructions for Preparing Motor Fuels Schedules, available on our website at
www.cdtfa.ca.gov/formspubs/cdtfa810fte.pdf.
For a list
of product codes, see form CDTFA-810-FTB, Product Code Table, available on our website at
www.cdtfa.ca.gov/formspubs/cdtfa810ftb.pdf.
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
CARRIER FEIN
MODE
POINT OF
ACQUIRED FROM
SELLER'S FEIN
DOCUMENT
DOCUMENT
NET
GROSS
BILLED
TAX
PURCHASE
CARRIER NAME
DATE
NUMBER
GALLONS
GALLONS
GALLONS
RATE
DATE
(Seller's Name)
ORIGIN
DESTINATION
(TCN or
(TCN or
State/Province)
State/Province)
TOTAL
CLEAR
PRINT