Form 83 MFR "Nebraska Producer's Schedule of Receipts" - Nebraska

What Is Form 83 MFR?

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

Form Details:

  • The latest edition provided by the Nebraska 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 83 MFR by clicking the link below or browse more documents and templates provided by the Nebraska Department of Revenue.

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Download Form 83 MFR "Nebraska Producer's Schedule of Receipts" - Nebraska

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Nebraska Producer's Schedule of Receipts
FORM 83 MFR
Producer's Name
FEIN
NE ID Number
Tax Period
Sample Oil Company
123456789
001234567
01/2012
VALID SCHEDULE CODES
VALID PRODUCT CODES
2
Gross gallons received without tax or PRF fee from a licensed producer, supplier, distributor, or importer
061
Natural Gasoline Denaturant
3
Gross gallons imported without tax or PRF fee via transport or rail from another state
123 or E00 Ethanol-Alcohol
B00
Biodiesel
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Sch.
Bill of Lading
Document/ Bill of
Gross
Product
Carrier Name
Carrier FEIN
Mode
Origin
Destination
Seller Name
Seller FEIN
Code
Date
Lading No.
Gallons
Code
2
Carrier Name
123456789
J
NE
NE
Seller Name
333222333
1/1/2012
00123456
2,000
123
2
Carrier Name
123456789
J
NE
NE
Seller Name
333222333
1/13/2012
003214
2,000
061
Nebraska Producer's Schedule of Receipts
FORM 83 MFR
Producer's Name
FEIN
NE ID Number
Tax Period
Sample Oil Company
123456789
001234567
01/2012
VALID SCHEDULE CODES
VALID PRODUCT CODES
2
Gross gallons received without tax or PRF fee from a licensed producer, supplier, distributor, or importer
061
Natural Gasoline Denaturant
3
Gross gallons imported without tax or PRF fee via transport or rail from another state
123 or E00 Ethanol-Alcohol
B00
Biodiesel
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Sch.
Bill of Lading
Document/ Bill of
Gross
Product
Carrier Name
Carrier FEIN
Mode
Origin
Destination
Seller Name
Seller FEIN
Code
Date
Lading No.
Gallons
Code
2
Carrier Name
123456789
J
NE
NE
Seller Name
333222333
1/1/2012
00123456
2,000
123
2
Carrier Name
123456789
J
NE
NE
Seller Name
333222333
1/13/2012
003214
2,000
061
INSTRUCTIONS FOR THE
NEBRASKA PRODUCER’S SCHEDULE OF RECEIPTS, FORM 83 MFR
All Nebraska motor fuels tax reporting is submitted monthly through the Electronic Data Interchange
(EDI) process. This printed schedule is provided to illustrate the fields and types of information that
must be included for each load of product received. The required information for some of the fields is
discussed below.
Column 2. Enter the name of the carrier hired to transport the fuel. If you use your own transport or tank
wagon, enter your name.
Column 4. Valid modes of transportation are:
J = Truck
PL = Pipeline
B = Barge
R = Railroad
GS = Gas Station
S = Ship
Column 5. The origin is the location from which the product was shipped. If the location was at a fuel
pipeline terminal, enter the IRS terminal code. In all other cases, use the appropriate two-letter
state abbreviation.
Column 6. The destination is the location to which the product was transferred. Enter the two-letter state
abbreviation or the IRS terminal code if appropriate.
Column 9. Enter the bill of lading date from the manifest. This date should be identical to the date
indicated on the seller’s disbursement schedule (MM/DD/YY). Do not use the invoice date if it is
different from the date of transfer of title or possession.
Column 10. The bill of lading number is the most commonly-reported document number and is normally
used to report full-load transactions. The document number must be identical to the document number
reported on the seller’s disbursement schedule.
Filing Reminders
All gallons must be reported in gross gallons. While some states may allow, or even require, the reporting
of natural gasoline and ethanol in net temperature corrected gallons, Nebraska requires all reporting in
gross gallons.
Valid Federal Employee Identification Numbers (FEINs) must be used for all fuel transfers in Nebraska.
Nebraska licensees and their correct FEINs are listed under
Licensees
.
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