Form 83 MFD "Nebraska Producer's Schedule of Disbursements" - Nebraska

What Is Form 83 MFD?

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 MFD 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 MFD "Nebraska Producer's Schedule of Disbursements" - Nebraska

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Nebraska Producer's Schedule of Disbursements
FORM 83 MFD
Producer's Name
FEIN
NE ID Number
Tax Period
Sample Oil Company
123456789
001234567
01/2012
VALID SCHEDULE CODES
VALID PRODUCT CODES
5
Gross gallons delivered tax-paid
6
Gross gallons disbursed without tax to a licensed supplier, distributor, wholesaler, or exporter
6R
Gross gallons transferred to another producer's Nebraska storage
123 or E00 Ethanol-Alcohol
7
Gross gallons exported without tax to another state
B00
Biodiesel
8
Gross gallons delivered to U.S. Government or its agencies; or to the Metropolitan Transit Authority
10
Gross gallons delivered to a Native American residing on a reservation
10F
Gross gallons transferred to a supplier's storage at a Nebraska terminal
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Sch.
Carrier
Purchaser
Bill of Lading
Document/ Bill of
Gross
Product
Carrier Name
Mode
Origin
Destination
Purchaser Name
Code
FEIN
FEIN
Date
Lading No.
Gallons
Code
7
Carrier Name
123456789
R
NE
CA
Buyer Name
222333222
1/13/2012
2497
15,000
123
5
Carrier Name
123456789
J
NE
NE
Buyer Name
222333222
1/18/2012
2223
7,000
123
5
Carrier Name
123456789
J
NE
NE
Buyer Name
222333222
1/17/2012
44
3,000
B00
Nebraska Producer's Schedule of Disbursements
FORM 83 MFD
Producer's Name
FEIN
NE ID Number
Tax Period
Sample Oil Company
123456789
001234567
01/2012
VALID SCHEDULE CODES
VALID PRODUCT CODES
5
Gross gallons delivered tax-paid
6
Gross gallons disbursed without tax to a licensed supplier, distributor, wholesaler, or exporter
6R
Gross gallons transferred to another producer's Nebraska storage
123 or E00 Ethanol-Alcohol
7
Gross gallons exported without tax to another state
B00
Biodiesel
8
Gross gallons delivered to U.S. Government or its agencies; or to the Metropolitan Transit Authority
10
Gross gallons delivered to a Native American residing on a reservation
10F
Gross gallons transferred to a supplier's storage at a Nebraska terminal
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
Sch.
Carrier
Purchaser
Bill of Lading
Document/ Bill of
Gross
Product
Carrier Name
Mode
Origin
Destination
Purchaser Name
Code
FEIN
FEIN
Date
Lading No.
Gallons
Code
7
Carrier Name
123456789
R
NE
CA
Buyer Name
222333222
1/13/2012
2497
15,000
123
5
Carrier Name
123456789
J
NE
NE
Buyer Name
222333222
1/18/2012
2223
7,000
123
5
Carrier Name
123456789
J
NE
NE
Buyer Name
222333222
1/17/2012
44
3,000
B00
INSTRUCTIONS FOR THE
NEBRASKA PRODUCER’S SCHEDULE OF DISBURSEMENTS, FORM 83 MFD
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 fuel disbursed. 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, 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. Enter the two-letter state
abbreviation or the IRS terminal code if appropriate.
Column 6. The destination is the location to which the product was transferred. All entries should be
either the IRS terminal code or the appropriate two-letter state abbreviation.
Column 9. Enter the bill of lading date from the manifest. This date should be identical to the date
indicated on the purchaser’s receipts 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 purchaser’s receipt 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.
There are two schedule codes unique to this return.
Schedule Code 6R - Use this schedule code to report the movement of product from your
finished goods inventory to another producer’s finished goods inventory located within Nebraska.
Provided the other producer is properly licensed, this is a tax-free transfer.
Schedule Code 10F - Use this schedule code to report the movement of product from your
finished goods inventory to your customer’s (a supplier) finished goods inventory located at a
Nebraska pipeline terminal. Provided the supplier is properly licensed, this is a tax-free transfer.
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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