Form 72A077 "Licensed Gasoline Dealer's Monthly Report of Gasoline Sales to U.S. Government" - Kentucky

What Is Form 72A077?

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

Form Details:

  • Released on October 1, 2006;
  • The latest edition provided by the Kentucky 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 72A077 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Revenue.

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Download Form 72A077 "Licensed Gasoline Dealer's Monthly Report of Gasoline Sales to U.S. Government" - Kentucky

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72A077 (10-06)
LICENSED GASOLINE DEALER’S MONTHLY REPORT
Commonwealth of Kentucky
OF GASOLINE SALES TO U.S. GOVERNMENT
DEPARTMENT OF REVENUE
Name and Address of Dealer
INSTRUCTIONS: This form must be completed when gasoline is sold to
Report for Month of
the U.S. government, its agencies or instrumentalities for use exclusively
in equipment or vehicles owned or leased by the U.S. government. Return
___________________ , 20____
completed form to Department of Revenue, Frankfort, Kentucky 40620.
Name and Address
Name and Title
Contract
Invoice
Number
Function of Agency
Date
of Federal Agency
of Authorized Purchaser
Number
Number
of Gallons
TOTAL*
*Total sales to U.S. government must equal amount reported on Form 72A089.
72A077 (10-06)
LICENSED GASOLINE DEALER’S MONTHLY REPORT
Commonwealth of Kentucky
OF GASOLINE SALES TO U.S. GOVERNMENT
DEPARTMENT OF REVENUE
Name and Address of Dealer
INSTRUCTIONS: This form must be completed when gasoline is sold to
Report for Month of
the U.S. government, its agencies or instrumentalities for use exclusively
in equipment or vehicles owned or leased by the U.S. government. Return
___________________ , 20____
completed form to Department of Revenue, Frankfort, Kentucky 40620.
Name and Address
Name and Title
Contract
Invoice
Number
Function of Agency
Date
of Federal Agency
of Authorized Purchaser
Number
Number
of Gallons
TOTAL*
*Total sales to U.S. government must equal amount reported on Form 72A089.