Form B&L: CLG "Alternative Fuel Monthly Tax Return - Sample" - Alabama

What Is Form B&L: CLG?

This is a legal form that was released by the Alabama Department of Revenue - a government authority operating within Alabama. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on June 1, 2017;
  • The latest edition provided by the Alabama 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 printable version of Form B&L: CLG by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form B&L: CLG "Alternative Fuel Monthly Tax Return - Sample" - Alabama

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A
D
R
LABAMA
EPARTMENT OF
EVENUE
B&L: CLG
B
& L
T
D
USINESS
ICENSE
AX
IVISION
6/17
M
F
S
OTOR
UELS
ECTION
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608 • Fax (334) 242-1199
Alternative Fuel Monthly Tax Return
www.revenue.alabama.gov
NAME
MONTH / YEAR
ADDRESS
LICENSE NUMBER
CITY
STATE
ZIP
FEIN (SSN)
CONTACT PERSON
TELEPHONE NUMBER
(          )
E-MAIL ADDRESS
Check Here If New Address
1. TOTAL UNITS
4. TAX RATE
2. EXEMPT SALES
FUEL TYPE
3. TAXABLE UNITS
5. TAX DUE
SOLD / WITHDRAWN
PER UNIT
(Total From Schedule AFEE)
(Total From Schedule 5)
$0.08
1 CNG (Compressed Natural Gas) . . . . . .
$0.08
2 LNG (Liquefied Natural Gas) . . . . . . . . . .
3 Subtotal (Add column 5, lines 1 and 2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Late File Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Late Pay Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Credit Authorized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Total Alternative Fuels Tax Amount Due (Add Lines 3-6, Subtract Line 7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Units are gallons based upon gasoline gallon equivalents or diesel gallon equivalents.
Report, applicable schedule(s), and payment are due on or before the 20th day of the following month. If the due date falls on a week-
end or state holiday, then the return is due the next business day.
Under penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my
knowledge and belief, it is true, correct, and complete.
Signature: ___________________________________________________________________ Date: __________________________
Title: _______________________________________________________________________ Telephone No. (_____)_____________
A
D
R
LABAMA
EPARTMENT OF
EVENUE
B&L: CLG
B
& L
T
D
USINESS
ICENSE
AX
IVISION
6/17
M
F
S
OTOR
UELS
ECTION
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608 • Fax (334) 242-1199
Alternative Fuel Monthly Tax Return
www.revenue.alabama.gov
NAME
MONTH / YEAR
ADDRESS
LICENSE NUMBER
CITY
STATE
ZIP
FEIN (SSN)
CONTACT PERSON
TELEPHONE NUMBER
(          )
E-MAIL ADDRESS
Check Here If New Address
1. TOTAL UNITS
4. TAX RATE
2. EXEMPT SALES
FUEL TYPE
3. TAXABLE UNITS
5. TAX DUE
SOLD / WITHDRAWN
PER UNIT
(Total From Schedule AFEE)
(Total From Schedule 5)
$0.08
1 CNG (Compressed Natural Gas) . . . . . .
$0.08
2 LNG (Liquefied Natural Gas) . . . . . . . . . .
3 Subtotal (Add column 5, lines 1 and 2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Late File Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Late Pay Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Credit Authorized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Total Alternative Fuels Tax Amount Due (Add Lines 3-6, Subtract Line 7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Units are gallons based upon gasoline gallon equivalents or diesel gallon equivalents.
Report, applicable schedule(s), and payment are due on or before the 20th day of the following month. If the due date falls on a week-
end or state holiday, then the return is due the next business day.
Under penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my
knowledge and belief, it is true, correct, and complete.
Signature: ___________________________________________________________________ Date: __________________________
Title: _______________________________________________________________________ Telephone No. (_____)_____________
A
D
R
5
LABAMA
EPARTMENT OF
EVENUE
SCHEDULE
B
& L
T
D
USINESS
ICENSE
AX
IVISION
M
F
S
FORM B&L: CLG
OTOR
UELS
ECTION
6/17
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608 • Fax (334) 242-1199
Alternative Fuels – Schedule of Total Gallons
www.revenue.alabama.gov
GALLONS OF ALTERNATIVE FUELS SOLD / WITHDRAWN BY A LICENSED PUBLIC SELLER OR FLEET PRODUCER
COMPANY NAME
MONTH / YEAR
LICENSE NUMBER
FEIN (SSN)
224 Compressed Natural Gas (CNG)
PRODUCT CODE:
225 Liquefied Natural Gas (LNG)
(2) GASOLINE GALLON EQUIVALENT
(3) DIESEL GALLONS EQUIVALENT
(1) STATION ID NUMBER
OF CNG UNITS SOLD / WITHDRAWN
OF LNG UNITS SOLD / WITHDRAWN
TOTAL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A
D
R
AFEE
LABAMA
EPARTMENT OF
EVENUE
SCHEDULE
B
& L
T
D
USINESS
ICENSE
AX
IVISION
M
F
S
FORM B&L: CLG
OTOR
UELS
ECTION
6/17
P.O. Box 327540 • Montgomery, AL 36132-7540 • (334) 242-9608 • Fax (334) 242-1199
Alternative Fuels – Exempt Entity Schedule
www.revenue.alabama.gov
UNITS OF ALTERNATIVE FUELS SOLD / WITHDRAWN TAX-EXEMPT
TO A LICENSED EXEMPT ENTITY BY A LICENSED PUBLIC SELLER OR FLEET PRODUCER
COMPANY NAME
MONTH / YEAR
LICENSE NUMBER
FEIN (SSN)
SCHEDULE TYPE
224 Compressed Natural Gas (CNG)
8 – Gallons Sold to U.S. Government – Tax-Exempt
PRODUCT CODE:
SCHEDULE TYPE:
225 Liquefied Natural Gas (LNG)
9 – Gallons Sold to Local Governments – Tax-Exempt
10 – Gallons Sold to Other Exempt Entities – Tax-Exempt
(ie Boards of Education)
(4) GASOLINE GALLON EQUIVALENT
(5) DIESEL GALLONS EQUIVALENT
(1) STATION ID NUMBER
(2) EXEMPT ENTITY
(3) EXEMPT NUMBER
OF CNG UNITS SOLD
OF LNG UNITS SOLD
TOTAL:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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