magnetic media filing formats for motor fuel reporting

MotorFuelReporting-MagneticMediaFiIingFormats R-2/09

Page1

Illinois Department of Revenue

Magnetic Media Filing Formats for

Motor Fuel Reporting

Magnetic Media FilingFormats for

Motor Fuel Reporting

RMFT-??(N-03/08)IL-492-????

Compact Disc

3.5 Diskette

Motor Fuel Compliance Review &

Licensing Section217 782-2291


Page2


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FORMAT SPECIFICATIONS FOR PC DISK OR DISKETTE FILING

Instructions for Showing Blended Fuel on Receipt Schedules ................................................................ 4

Diskette and Compact Disc (CD) Filing Specifications for Motor Fuel Schedules ................................. 5

Example of Transmittal .................................................................................................................................. 6

Data Records Explanation ............................................................................................................................ 6

Gen. Infor. , Record Layouts and Sch. , Data Fields, Gallon Fields, and Contact Information ................ 7

Each schedule with its respective layout .................................................................................................... 8

Total records (Schedule, License, and File) .............................................................................................. 54

Table of Contents


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Instructions for Showing Blended Fuelon Receipt Schedules

Toshowblendingyouneed2records.Thefirstistosubtractthefuel,andthesecondistoaddtheblendedfuelbackin.Thereceiptschedulesare“A”,“SA”,“LA”and“DA”.

Enteralloftheinformationexactlyasyouwouldnormally,withthefollowingexceptions:1 Filing Indicator,position26: Record1-Usean“N”toindicatedNegativeDatatotakethefuelout. Record2-Usean“O”toindicateOriginalDatatoaddtheblendedfuelbackin.2 Net Gallons,positions178-187:

Record1-Entergallonstobesubtracted. Record2-Entergallonstobeadded.

(UseaPOSITIVEnumberinbothcases,theFilingIndicatorwilltelloursystemwhetheritshouldbesubtractedor added.)

3 Seller’s License Number,positions94-113:

Bothrecords-UseyourownLicensenumber.Donotleavethefieldblankorzerofill.

4 Seller’s Name,positions74-93:

Record1-Enter“XFERTOSCHEDM” Record2-Enter“XFERFRSCHEDM”

5 Invoice Date,positions114-119: BOL Date,positions132-137:

Bothrecords-Enterthedateoftransferinbothfields.

6 Tax Type,position188:

Bothrecords-Entera“3”intobothfields.

7 Receipt Type,position199:

Bothrecords-Entera“1”intobothfields.

8 Invoice Number,positions120-131: BOL Number,positions138-147:

Origin,positions212-226: Destination,Positions227-241: Carrier Name,positions242-256:

Bothrecords-Youcanenteranythingyouwantinthesefieldsexceptallspacesorallzeroes.

Note:GallonswithFilingIndicatorof“N”shouldbesubtractedwhenaccumulatinggallonsforScheduletotal(record“S”),Vendortotal(record“V”),andFiletotal(record“Z”).


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Diskette and Compact Disc (CD) Filing SpecificationsFor Motor Fuel Schedules

1 Diskettesusedshallbe3.5HD,or3.5andcompactdisc(inJolietformat).

2 DisketteandCD'swillnotbereturned.

3 ExternallabelshallbecreatedperIDORlabelformatonPage6,andplaceddirectlyonthediskette/CD.

4 DatarecordsshallbecreatedperIDORrecordlayoutsdescribedonPages8through52.

5 IDORpermitsonlyoneliabilityperiodperdiskette/CDfile.

6 Alldiskettesmustcontainfixedlengthrecordsofthelengthspecifiedontherecordlayouts.Eachrecordmustbe terminatedbyanadditionaltwo(2)bytesASCIIrecordterminatorofaCarriageReturnandLineFeed(CRLF).

7 RecordingmodemustbeIBMstandardASCII.

8 Allschedulesmustbeenteredinfilerlicensenumber,scheduletypeorder,recordtype,andpurchaserorseller licensenumberorderwithinthescheduletype.

9 Allmotorfuelschedules,exceptforschedules"F"and"J"mustbefiledondiskette.

10 OnlysupportingschedulesfortheoriginalreturnmustbefiledondisketteorCD.Allamendedscheduleinformation mustbefiledonpaper.

11 StandardPointLocationCodes(SPLC)andStandardCarrierAlphaCodes(SCAC)publishedbyTheNational MotorFreightTrafficAssociationwillNOTbeutilized.

12 Filer'spaperschedulesmustaccompanythereturnforatleasttwomonthsfollowingmagneticfilingapproval,unless otherwisenotifiedbyIDOR.Ifnonotificationisreceived,paperschedulesubmissionmayceaseaftertwoliability periods.

13 Atransmittalsheetmustaccompanyeachfileshowingfiler'snameandlicensenumber,liabilityperiod,creation date,andtotaltransactionsonthediskette(s),donotsavethetransmittaltothediskette.

14 Recordsorblocksofdatamaynotspandiskettes.

15 UseofcompressionutilityPKZIPRisencouraged.

16 ThefilingagentisrequiredtohaveanupdatedFormIL-2848,PowerofAttorney,forallclientsfilingthroughthe disketteprocess.

17 Thefilingagentmustsignalltransmittalformsas"AgentforTaxpayers"includedonthediskettefilebeingsubmitted.

18 IDORreservestherighttorevokeaMotorFuelLicenseduetonon-compliancewithrequirementsorspecifications.

19 ThefilingagentmustadheretoallIDORdisketterequirementsandspecifications.

20 Donotsubmitreturnsand/orremittancewithyourmagneticmedia.Continuetosendreturnstotheaddress indicatedonthereturnform.

21 Pleasesenddiskette(s)andaccompanyingdocumentsto:

MOTORFUELCOMPLIANCEREVIEWANDLICENSINGSECTION ILLINOISDEPARTMENTOFREVENUE POBOX19477 SPRINGFIELDIL62794-9477


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Example of Transmittal Which Will Need to Accompany Each File

IllinoisMotorFuelSchedulesDisketteTransmittal

FilingAgentName:XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX FilingAgentAddress:XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX FilingAgentCity,State,Zip:XXXXXXXXXXXXXXXXXXXXXXXXXXX FilingAgentPhone:(999)999-9999 LiabilityPeriod:99/99 CreationDate:99/99/99

Filer’sName:XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Filer’sLicense:X-99999 Numberof MUST License Schedule Transactions APPEAR 09999 A 99,999 FOR C 999 EACH . . FILER . . . . ‘S’ 5 ‘V’ 1 19999 LA 999 . . . . . . ‘S’ 4 ‘V’ 1

‘Z’ 1

TotalRecords 999,999

Reminder: Pleaseputthefollowinginformationonyourexternallabelonthediskette(s) Yourlicensenumber Yourcompanyname Liabilityperiod Creationdate Sequencenumber,ifmorethanonediskette(example:1of2,2of2,etc.) Note: Distributor/SupplierandReceiverlicensenumbersaretwoseparatefilerlicensenumbers.

Data Records Explanation 1 Thefollowingexplainsthetypesofdatarecordsthataretobeusedwhenfilingondiskette.Eachrecordisafixed lengthrecordof256bytes.

A Detailrecord-Scheduleentrylineitems.Fourdifferenttypesmaybesubmittedbysettingthefilingindicatorin therecord. 1 OriginalEntry - Allinitialentriesfiledwiththereturn. 2 ReversalEntry - AnexactcopyoftheOriginalEntrythatneedstobecorrected. 3 CorrectionEntry - Replacesanentrythatwassubmittedinerror. Note: AReversalEntrymustbesubmittedthatcorrespondstothisCorrectionEntry 4 NegativeEntry - NegatesorreducesthebalanceofanOriginalEntry,usingadifferentInvoiceNumber. UsedwhenoriginalInvoiceNumberisnotavailable,howevertheBOL#shouldremain thesameasoriginallyreported. B ScheduleTotalRecord- Accumulatedtotalsforscheduleentriesofeachschedule.Requiredattheendof ScheduleEntryRecordsforeachschedulewrittentothefile. C LicenseTotalRecord - Summarytotalofallentriesfromallscheduletotalrecordsforeachlicensedfiler.Required attheendofthefinalscheduletotalrecordsforeachlicensedfiler. D FileTotalRecord - Summarytotalofallentriesfromallschedules.Requiredasthelastrecordonthe diskettefile.


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General Information

1 Allnumericfieldsareinunpackedformat,precededwithzeroes,rightjustifiedandzero-filledwhennotused. 2 Allalphanumericfieldsaretobeleftjustifiedandspace-filledwhennotused. 3 Notallfieldsinthedatarecordsarerequired.Refertotherecordlayoutsandschedulestodeterminewhichfields arerequiredfortheschedulesyouaresubmittingonthediskettefile. 4 Incompatiblefilesorvariancesfromthesespecificationsshallnotbeaccepted.Anyfilethatcannotbereadwillbe requiredtobereplaced. Record Layouts and Schedules Toensureproperformattingofrecords,anexampleofeachschedulehasbeenincludedinthisbookwitharecord layout.Therecordlayoutforanentryrecordisthesameforallschedules.However,eachschedulerequiresvarying information.Thus,eachscheduleislistedwithitsreportlayoutrequirements.

Therecordlayoutshaveacolumntitled"FLD"thatnumberseachfieldintherecord.Theexamplescheduleshave circlednumbersthatcorrespondtothesefieldnumbers.

Ifthefieldnumberdoesnothaveacorrespondingnumberontheschedule,enterwhateverisshowninthe"Remarks" columnoftherecordlayout.

Date Fields Thecenturymustnotbeincludedforreportingperiodsandinvoicedatesonthemagneticmediarecords.

Gallon Fields Theinvoicegallonfieldfor'E'recordsis10byteslong.Thisincludesaonedigitdecimalposition.Thedecimalpoint isimpliedandshouldnotbeentered.Gallonsshouldberoundedtothenearestwholegallon.Thefieldshouldberight justifiedandleftzerofilledwithazerointheonedigitdecimalposition.

Example: 25,963.6gallonswouldberoundedandenteredas0000259640. 25,963.2gallonswouldberoundedandenteredas0000259630.

Thetotalinvoicegallonfieldonrecordtypes'S','V',and'Z'is15byteslongwithaonedigitdecimalposition.The decimalpointisimpliedandshouldnotbeentered.Thefieldshouldberightjustifiedandleftzerofilledwithazeroin theonedigitdecimalposition. Example: 245,693.0gallonswouldbeenteredas000000002456930.

ForScheduleMGandMSeachwholegallonoftheprimaryandblendingagentmustaddtogethertoexactlyequalthe endproduct.

Toaccumulatethetotalrecordgallons:• 'S'recordgallonsareaccumulatedbyaddingall'E'recordgallonsforthespecifiedschedulewithafiling

indicatorof'O'or'C'.Gallonswithafilingindicator'R'and'N'shouldbesubtractedfromthetotal.• Gallonsforrecord'V'shouldbetheaccumulatedgallonsforall'S'recordsforthespecifiedlicensenumber.• Gallonsforrecord'Z'shouldbetheaccumulatedgallonsforall'V'records.

Contact Information Callusat: 1 800 732-8866or217 782-2291

CallourTDDat: 1 800 544-5304 (telecommunicationsdeviceforthedeaf)

Writeusat: MOTOR FUEL COMPLIANCE REVIEW AND LICENSING SECTION ILLINOIS DEPARTMENT OF REVENUE P O BOX 19477 SPRINGFIELD IL 62794-9477 Fortechnicalhelp: 217 785-6744 (Diskettes)


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17 18 31 20 15 29 30 16 22

Page ____ of ____Illinois Department of Revenue MFT, UST, and EIFSchedule A Gasoline Products Produced, Acquired,Attach to Form RMFT-5 or Form RMFT-5-US Received, or Transported into Illinois

Step 1: Complete the following information______________________________________________ Check the tax/fee type you are listing on this page. Check the receipt type that you are listing on this page.Company name

MFT-free only Gasoline products received in Illinois______________________________________________Your license number UST-/EIF-free only Gasoline products imported into Illinois

Reporting period __ __/__ __ __ __ Both MFT- and UST-/EIF-free Gasoline products produced in your Illinois refineryMonth Year

Step 2: Report your tax- and fee-free purchases1 2 3 4 5 6 7 8 9

Invoice date Invoice Name of Bill of lading or Origin Destination Seller’s Invoiced(month, day, year) number carrier manifest number Name of seller (city and state) (Illinois cities only) license number gallons

1 _ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________ _________________

2 _ _/_ _/_ _ _ _ ________________________________ ___________________________________________________________________________________ _________________

3 _ _/_ _/_ _ _ _ ________________________________ ___________________________________________________________________________________ _________________

4 _ _/_ _/_ _ _ _ ________________________________ ___________________________________________________________________________________ _________________

5 _ _/_ _/_ _ _ _ ________________________________ ___________________________________________________________________________________ _________________

6 _ _/_ _/_ _ _ _ ________________________________ ___________________________________________________________________________________ _________________

7 _ _/_ _/_ _ _ _ ________________________________ ___________________________________________________________________________________ _________________

8 _ _/_ _/_ _ _ _ ________________________________ ___________________________________________________________________________________ _________________

9 _ _/_ _/_ _ _ _ ________________________________ ___________________________________________________________________________________ _________________

10 _ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________

11 Add the invoiced gallons in Column 9, Lines 1 through 10, and write the total here. 11 ________________

12 If you are filing only one Schedule A, write the amount from Line 11 here. 12 ________________If you are reporting• MFT-free gallons only, also write this amount on Form RMFT-5, Line 2a, Column 1.• UST-/EIF-free gallons only, also write this amount on Form RMFT-5-US, Line 2a, Column 1.• both MFT- and UST-/EIF-free gallons, also write this amount on Forms RMFT-5 and Form RMFT-5-US, Line 2a, Column 1.If you are filing more than one Schedule A, see instructions.

RMFT-6 front (R-02/00)

Gas&OilCo. x

D-04321072000X

07172000A1234ABTruckingB5678TestOilCo.Chicago,ILSpringfieldD-0234515,000

8

1 9 23

Motor Fuel Uniform SchedulesSchedule “A” (ENTRY) Record

Buffer: 256 FIXED LENGTH

Field # Position Length Type Field Description Remarks

1 1-17 17 FILER LICENSE N 1-2 Type Enterfilerlicensetype. ‘01’-fordistributor ‘08’-forreceiver (If‘08’,mustbesameasField16) N 3-7 Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8 Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘A‘.

3 21-22 2 A FILER PERMIT KIND NotusedbyIDOR.Spacefill.

4 23-24 2 N FILER LICENSE YEAR NotusedbyIDOR.Zerofill.

5 25-25 1 A RECORD TYPE Entrytype.Enteran‘E’.

6 26-26 1 A FILING INDICATOR Transactiontypeindicator. ‘O’ - Originaldata ‘C’ -Correctiondata ‘R’ -Reversaldata ‘N’ -Negativedata

7 27-27 1 N FILER PETRODEX INDICATOR NotusedbyIDOR.Zerofill.

8 28-47 20 A/N FILER NAME Completenameofthefiler. Spacefillaftercompletename.

9 48-51 4 LIABILITY DATE Entervaliddate. N 48-49Year Enterlast2digitsonly. Example:EnterYear2000as‘00’. N 50-51Month 01-12.

10 52-56 5 A FILLER Spacefill.

11 57-60 4 A CARRIER CODE Notused.Spacefill.

12 61-66 6 N ORIGIN CODE Notused.Zerofill.

13 67-72 6 N DESTINATION CODE Notused.Zerofill.

14 73-73 1 N SELLER PETRODEX INDICATOR NotusedbyIDOR.Zerofill.

15 74-93 20 A/N SELLER NAME Nameoftheseller. Spacefillaftercompletename.


Page9

Motor Fuel Uniform SchedulesSchedule “A” (ENTRY) Record (continued)



16 94-113 20 SELLER LICENSE NUMBER Entersellerlicensetype. N 94 - 95 Type ‘01’-fordistributor ‘08’-forreceiver (If‘08’,mustbesameasfield01) N 96 - 100 Sequence Sellerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102- 113 Filler Spacefill.

17 114-119 6 INVOICE DATE Enteravaliddate. N 114-115Year Enterlast2digitsonly. Example:Enteryear2000as‘00’. N 116-117Month 01-12. N 118-119Day 01-31.

18 120-131 12 A/N INVOICE NUMBER Enteraninvoicenumber.Requiredfield. Noleadingzeroes.Spacefillatend.

19 132-137 6 BILL OF LADING DATE Enteravaliddate. N 132-133Year N 134-135Month 01-12. N 136-137Day 01-31.

20 138-147 10 A/N BILL OF LADING Enterbillofladingormanifestnumber. Noleadingzeroes.Spacefillatend.

21 148-177 30 N FILLER NotusedbyIDOR.Zerofill.

22 178-187 10 N NET GALLONS Invoicedgallons.Format9(9)V9. SeeinstructionsonPage7.

23 188-188 1 N TAX TYPE Entertaxtype. 1-MFT-Freeonly 2-UST-/EIF-Freeonly 3-BothMFT-andUST-/EIF-Free

24 189-189 1 A STORAGE PERMIT INDICATOR Spacefill.

25 190-198 9 A PRODUCT CODE Enter3characterproductcode.* Ifnotcontainedwithincodetable, enterproductname.

26 199-199 1 A/N RECEIPT TYPE Enterschedulegallontype. ‘1’-Illinoisreceipts ‘2’-Imported ‘3’-Produced


28 211-211 1 A MEDIA CODE Enter‘D’fordiskette.

29 212-226 15 A ORIGIN NAME Enteroriginname.Spacefillaftercomplete 212-224City name. 225-226State

30 227-241 15 A DESTINATION NAME Enterdestinationname.Spacefillafter 227-239City completename. 240-241State

31 242-256 15 A CARRIER NAME Entercarriername.Spacefillaftercomplete name.

*PRODUCTCODE------------------------------GAS-GASOLINE


Page10

Gas&OilCo.D-04321072000

07182000C15643XZTransportA19565TestOilCo.MolineRockIsland9,500

Page ____ of ____

RMFT-7 front (R-6/00)This form is authorized as outlined by the Motor Fuel Tax Law. Disclosure of this information is REQUIRED. Failure to provideinformation could result in a penalty. This form has been approved by the Forms Management Center. IL-492-1544

Illinois Department of RevenueMotor Fuel TaxSchedule B Gasoline Products Sold to the Federal Government, Authorized Foreign Diplomats,

Municipal Corporations Owning and Operating Local Transportation Systems, to CertainAttach to Form RMFT-5 Privately Owned Public Utilities, Non-Recreational Type Watercraft, or for Aviation Purposes

Step 1: Complete the following information

_______________________________________________Company name

_______________________________________________Your license number

Reporting period __ __/__ __ __ __Month Year

Step 2: Report your nontaxable sales to the federal government, authorized foreign diplomats, etc.1 2 3 4 5 6 7 8

Invoice date Invoice or Name of Bill of lading or Origin Destination Invoiced(month, day, year) serial number carrier manifest number Name of purchaser (Illinois cities only) (Illinois cities only) gallons

1 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

2 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

3 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

4 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

5 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

6 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

7 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

8 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

9 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

10 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

11 Add the invoiced gallons in Column 8, Lines 1 through 10. Write the total amount here. 11 __________________

12 If you are filing only one Schedule B, write the amount from Line 11 here and on Form RMFT-5, Line 6, Column 1. 12 __________________If you are filing more than one Schedule B, add Line 11 from each schedule, and write the total on Line 12 of the last page.Also write this amount on Form RMFT-5, Line 6, Column 1.

8

1 9

17 18 30 20 15 28 29 22

Motor Fuel Uniform SchedulesSchedule “B” (ENTRY) Record



1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘B‘.











13 67-72 6 N DESTINATION CODE Notused.Zerofill. 14 73-73 1 N PURCHASER PETRODEX NotusedbyIDOR.Zerofill. INDICATOR

15 74-93 20 A/N PURCHASER NAME Nameofthepurchaser. Spacefillaftercompletename.


Page11

Motor Fuel Uniform SchedulesSchedule “B” (ENTRY) Record (continued)



16 94-113 20 PURCHASER LICENSE NUMBER N 94 - 95 Type Zerofill. N 96 - 100 Sequence# Zerofill. N 101 Code Zerofill. A 102- 113 Filler Spacefill.







23 188-188 1 N FILLER Zerofill.







30 242-256 15 A CARRIER NAME Entercarriername.Spacefillaftercomplete name.*PRODUCTCODE------------------------------GAS-GASOLINE


Page12

Illinois Department of Revenue MFT, UST, and EIFSchedule C Sales and Transfers of Gasoline ProductsAttach to Form RMFT-5 or Form RMFT-5-US Delivered to Points Outside of Illinois

Step 1: Complete the following information

_______________________________________________Company name

_______________________________________________Your license number

________________________________________________Name of state into which shipments were made

Reporting period __ __/__ __ __ __Month Year

Step 2: Report your exported gallons1 2 3 4 5 6 7 8

Invoice date Invoice Name of Bill of lading or Origin Destination Invoiced(month, day, year) number carrier manifest number Name of purchaser (Illinois cities only) (city and state) gallons

1 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

2 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

3 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

4 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

5 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

6 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

7 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

8 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

9 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

10 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

11 Add the invoiced gallons in Column 8, Lines 1 through 10. Write the total amount here. 11 _________________

12 If you are filing only one Schedule C, write the amount form Line 11 here and on Forms RMFT-5 and RMFT-5-US, Line 7, Column 1. 12 _________________If you are filing more than one Schedule C, add Line 11 from each schedule, and write the total on Line 12 of the last page.Also write this amount on Forms RMFT-5 and RMFT-5-US, Line 7, Column 1.

Page ____ of ____


This form is authorized as outlined by the Motor Fuel Tax Law and the Environmental Impact Fee Law. Disclosure of this information is REQUIRED.Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center. IL-492-0083

Gas&OilCo.

D-04321MO 072000

07202000169877ABCTruckingB165544TestOilCo.SpringfieldSt.Louis,MO8,800

8

1 27

17 18 31 20 15 29 30 22

9

Motor Fuel Uniform SchedulesSchedule “C” (ENTRY) Record



1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor ‘08’-forreceiver N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘C‘.














Page13

Motor Fuel Uniform SchedulesSchedule “C” (ENTRY) Record (continued)



16 94-113 20 PURCHASER LICENSE NUMBER N 94 - 95 Type Zerofill. N 96 - 100 Sequence# Zerofill. N 101 Code Zerofill. A 102 - 113 Filler Spacefill.











27 209-210 2 A EXPORT STATE Entervalidpostalabbreviationfortheexport state.







Page14

Page ____ of ____Illinois Department of Revenue MFT, UST, and EIFSchedule D Gasoline Products Sold and Distributed Tax- and Fee-FreeAttach to Form RMFT-5 or Form RMFT-5-US in Illinois to Licensed Distributors and Receivers

Step 1: Complete the following information______________________________________________ Check the tax/fee type you are listing on this page.Company name

MFT-free only______________________________________________Your license number UST-/EIF-free only

Reporting period __ __/__ __ __ __ Both MFT- and UST-/EIF-freeMonth Year

Step 2: Report your tax- and fee-free sales1 2 3 4 5 6 7 8 9

Invoice date Invoice Name of Bill of lading or Origin Destination Purchaser’s Invoiced(month, day, year) number carrier manifest number Name of purchaser (Illinois cities only) (Illinois cities only) license number gallons

1 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

2 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

3 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

4 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

5 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

6 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

7 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

8 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

9 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

10 _ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________

11 Add the invoiced gallons in Column 9, Lines 1 through 10, and write the total here. 11 ________________

12 If you are filing only one Schedule D, write the amount from Line 11 here. 12 ________________If you are reporting• MFT-free gallons only, also write this amount on Form RMFT-5, Line 8a, Column 1.• UST- and EIF-free gallons only, also write this amount on Form RMFT-5-US, Line 8, Column 1.• both MFT- and UST-/EIF-free gallons, also write this amount on Forms RMFT-5, Line 8a, Column 1 and RMFT-5-US, Line 8, Column 1.If you are filing more than one Schedule D, see instructions.


8TestOilCo.xD-02345

072000

07172000A1234XTTransportB5678Gas&OilCo.JolietLincolnD-0432115,000

1 9

17 18 30 20 15 28 29 2216

23

Motor Fuel Uniform SchedulesSchedule “D” (ENTRY) Record

Buffer: 256 FIXED LENGTHField # Position Length Type Field Description Remarks

1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor ‘08’-forreceiver (If‘08’,mustbesameasfield16) N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘D‘.














Page15

Motor Fuel Uniform SchedulesSchedule “D” (ENTRY) Record (continued)



16 94-113 20 PURCHASER LICENSE NUMBER N 94 - 95 Type Enterpurchaserlicensetype: ‘01’-fordistributor ‘08’-forreceiver (If‘08’,mustbesameasfield01) N 96 -100 Sequence# Purchaserlicensenumber.(Leadingzeroes, if4digitlicensenumber.) N 101 Code Zerofill. A 102 -113 Filler Spacefill.

17 114-119 6 INVOICE DATE Enteravaliddate. N 114-115Year Enterlast2digitsonly. Example:Enteryear2000as‘00’. N 116-117Month 01-12. N 118-119Day 01-31. 18 120-131 12 A/N INVOICE NUMBER Enteraninvoicenumber.Requiredfield. Noleadingzeroes.Spacefillatend.







25 190-198 9 A PRODUCT CODE Enter3characterproductcode.* Ifnotcontainedwithincodetable,enter productname.








Page16

Gas&OilCo.x

D-04321 X 072000

07202000B1234AZTruckingL98765TestOilCo.ChicagoPeoriaD-020454,000

8

1 9

17 18 30 20 15 28 29 2216

2523

Motor Fuel Uniform SchedulesSchedule “E” (ENTRY) Record



1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor ‘08’-forreceiver (If‘08’,mustbesameasfield16) N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘E‘.











13 67-72 6 N DESTINATION CODE Notused.Zerofill. 14 73-73 1 N SELLER PETRODEX INDICATOR NotusedbyIDOR.Zerofill.

15 74-93 20 A/N SELLER NAME Nameoftheseller. Spacefillaftercompletename.


Page17

Motor Fuel Uniform SchedulesSchedule “E” (ENTRY) Record (continued)



16 94-113 20 SELLER LICENSE NUMBER N 94 - 95 Type Entersellerlicensetype: ‘01’-fordistributor ‘08’-forreceiver (If‘08’,mustbesameasfield01) N 96 -100 Sequence# Sellerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102-113 Filler Spacefill.







23 188-188 1 N TAX TYPE Entertaxtype. 1-MFT-Paidonly 2-UST-/EIF-Paidonly 3-BothMFT-andUST-/EIF-Paid


25 190-198 9 A PRODUCT CODE Enter3characterproductcode. * Ifnotcontainedwithincodetable,enter productname.






*PRODUCTCODE------------------------------GAS - GASOLINEALC - ALCOHOLCNG - COMBUSTIBLEGASES


Page18

Motor Fuel Uniform SchedulesSchedule “M” - Gasoline (ENTRY) Record



1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘MG‘.













15 74-93 20 A/N PURCHASER NAME Spacefill.


Page19

Motor Fuel Uniform SchedulesSchedule “M” - Gasoline (ENTRY) Record (continued)



16 94-113 20 PURCHASER LICENSE NUMBER N 94 - 95 Type Zerofill. N 96 -100 Sequence# Zerofill. N 101 Code Zerofill. A 102-113 Filler Spacefill.

17 114-119 6 N INVOICE DATE Zerofill. 18 120-131 12 A INVOICE NUMBER Spacefill.

19 132-137 6 BLENDING DATE Enteravaliddate. N 132-133Year Enterlast2digitsonly. N 134-135Month 01-12. N 136-137Day 01-31.

20 138-146 9 A END PRODUCT CODE Enter3characterproductcode.*** Ifnotcontainedwithincodetable,enter productname.



23 178-187 10 N END PRODUCT GALLONS Totalendproductgallons.Format9(9)V9.



26 190-198 9 A PRIMARY PRODUCT CODE Enter3characterproductcode.*** Ifnotcontainedwithincodetable,enter productname.


28 200-209 10 N PRIMARY PRODUCT GALLONS Primaryproductgallons.Format9(9)V9


30 211-211 1 A MEDIA CODE Enter‘D’fordisketteorCD. 31 212-221 10 N BLENDING AGENT GALLONS BlendinggasolinegallonsColumna. Columna Format9(9)V9.

32 222-231 10 N BLENDING AGENT GALLONS Blendingethanol/alcoholgallonsColumnb. Columnb Formal9(9)V9.

33 232-240 9 A BLENDING AGENT NAME Enteractualproductname. Columnc Ifdifferentfromgasolineorethanol/alcohol.

34 241-250 10 N BLENDING AGENT OTHER BlendingothergallonsColumnc. GallonsColumnc Format9(9)V9.

35 251-256 6 A FILLER Spacefill.*PRODUCTCODE------------------------------GAS - GASOLINEETH - ETHANOL/ALCOHOLGHL - GASOHOL


Page20

Motor Fuel Uniform SchedulesSchedule “M” - Special Fuels (ENTRY) Record



1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor ‘02’-forsupplier N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘MS‘.













15 74-93 20 A/N PURCHASER NAME Spacefill.


Page21

Motor Fuel Uniform SchedulesSchedule “M” - Special Fuels (ENTRY) Record (continued)




17 114-119 6 N INVOICE DATE Zerofill. 18 120-131 12 A INVOICE NUMBER Spacefill.

19 132-137 6 BLENDING DATE Enteravaliddate. N 132-133Year Enterlast2digitsonly. Example:Enteryear2000as‘00’. N 134-135Month 01-12. N 136-137Day 01-31.

20 138-146 9 A END PRODUCT CODE Enter3characterproductcode.*** Ifnotcontainedwithincodetable,enter productname.



23 178-187 10 N END PRODUCT GALLONS Totalendproductgallons.Format9(9)V9.



26 190-198 9 A PRIMARY PRODUCT CODE Enter3characterproductcode.*** Ifnotcontainedwithincodetable,enter productname.


28 200-209 10 N PRIMARY PRODUCT GALLONS Primaryproductgallons.Format9(9)V9


30 211-211 1 A MEDIA CODE Enter‘D’fordisketteorCD. 31 212-221 10 N BLENDING AGENT GALLONS BlendingsoygallonsColumna. Columna Format9(9)V9.

32 222-231 10 N BLENDING AGENT GALLONS Blending1KgallonsColumnb. Columnb Formal9(9)V9.

33 232-240 9 A BLENDING AGENT NAME Enteractualproductname. Columnc Ifdifferentfromsoyor1K.

34 241-250 10 N BLENDING AGENT OTHER BlendingothergallonsColumnc. GallonsColumnc Format9(9)V9.

35 251-256 6 A FILLER Spacefill.*PRODUCTCODE------------------------------SPF - UNDYEDDIESELDYE - DYEDDIESELSOY - SOYOIL/BI00/B99.91K - 1-KKEROSENEBIO - BIODIESEL/PETROBLEND


Page22

TestOilCo.D-02345x072000

07202000B7890TransportCo.L98765Gas&OilCo.SpringfieldSpringfieldD-043217,450

8 1

9

17 18 30 20 15 28 29 22

25

16

Motor Fuel Uniform SchedulesSchedule “GA-1” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘GA1‘.









11 57-60 4 A CARRIER CODE Notused.Spacefill. 12 61-66 6 N ORIGIN CODE Notused.Zerofill.

13 67-72 6 N DESTINATION CODE Notused.Zerofill. 14 73-73 1 N PURCHASER PETRODEX NotusedbyIDOR.Zerofill. INDICATOR 15 74-93 20 A/N PURCHASER NAME Nameofthepurchaser. Spacefillaftercompletename.


Page23

Motor Fuel Uniform SchedulesSchedule “GA-1” (ENTRY) Record (continued)



16 94-113 20 PURCHASER LICENSE NUMBER A/N 94 - 95 Type Enterpurchaserlicensetype: ‘01’ -fordistributor ‘02’ -forsupplier ‘RO’-forretailoutlet N 96 -100 Sequence# Purchaserlicensenumber.(Leadingzeroes, if4digitlicensenumber.)If‘RO’,enterzeroes. N 101 Code Zerofill. A 102-113 Filler Spacefill.














30 242-256 15 A CARRIER NAME Entercarriername.Spacefillaftercomplete name.*PRODUCTCODE------------------------------LPG - LIQUIDPROPANEGAS1K - KEROSENEALC - ALCOHOL


Page24

Gas&OilCo. D-04321

x072000x

071820003579TransportCo.K2468TestOilCo.Madison,WIRockfordD-0234520,000

8 1 9

17 18 30 20 15 28 16 2229

25

23

Motor Fuel Uniform SchedulesSchedule “DA” (ENTRY) Record


1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver (if‘08’,mustbesameasfield16) N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘DA‘.











13 67-72 6 N DESTINATION CODE Notused.Zerofill. 14 73-73 1 N SELLER PETRODEX INDICATOR NotusedbyIDOR.Zerofill. 15 74-93 20 A/N SELLER NAME Nameoftheseller.Spacefillaftercomplete name.


Page25

Motor Fuel Uniform SchedulesSchedule “DA” (ENTRY) Record (continued)



16 94-113 20 SELLER LICENSE NUMBER N 94 - 95 Type Entersellerlicensetype: ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver (If‘08’,mustbesameasfield01) N 96 -100 Sequence# Sellerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102 -113 Filler Spacefill.












28 212-226 15 A ORIGIN NAME Enteroriginname.Spacefillafter 212-224City completename. 225-226State




Page26

Gas&OilCo.

S-04321

072000

0717200012356CarrierCo.B9750ABXMassTransitMorrisMonmouth15,000

8

1 9

17 18 29 20 15 27 28 22

Motor Fuel Uniform SchedulesSchedule “DB” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘DB‘.













Page27

Motor Fuel Uniform SchedulesSchedule “DB” (ENTRY) Record (continued)



15 74-93 20 A/N PURCHASER NAME Nameofthepurchaser.Spacefillafter completename.


17 114-119 6 INVOICE DATE Enteravaliddate. N 114-115Year Enterlast2digitsonly. Example:Enteryear2000as‘00’. N 116-117Month 01-12. N 118-119Day 01-31. 18 120-131 12 A/N INVOICE NUMBER Enteraninvoicenumber.Requiredfield. Noleadingzeroes.Spacefillatend.













Page28

Gas&OilCo.D-04321MO 072000

071620009531Transport,Inc.B6930TestOilCo.SpringfieldSt.Louis,MO9,000

8

1

9

17 18 30 20 15 28 29 22

26

Motor Fuel Uniform SchedulesSchedule “DC” (ENTRY) Record


1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘DC‘.













Page29

Motor Fuel Uniform SchedulesSchedule “DC” (ENTRY) Record (continued)



15 74-93 20 A/N PURCHASER NAME Nameofthepurchaser.Spacefillafter completename. 16 94-113 20 PURCHASER LICENSE NUMBER N 94 - 95 Type Zerofill. N 96 -100 Sequence# Zerofill. N 101 Code Zerofill. A 102-113 Filler Spacefill.


18 120-131 12 A/N INVOICE NUMBER Enteraninvoicenumber.Requiredfield. Noleadingzeroes.Spacefillatend. 19 132-137 6 BILL OF LADING DATE Enteravaliddate. N 132-133Year N 134-135Month 01-12. N 136-137Day 01-31.







26 209-210 2 A EXPORT STATE Entervalidpostalabbreviationfortheexport state. 27 211-211 1 A MEDIA CODE Enter‘D’fordiskette. 28 212-226 15 A ORIGIN NAME Enteroriginname.Spacefillaftercomplete 212-224City name. 225-226State

29 227-241 15 A DESTINATION NAME Enterdestinationname.Spacefillafter 227-239City completename. 240-241State 30 242-256 15 A CARRIER NAME Entercarriername.Spacefillaftercomplete name.


Page30

8TestOilCo.D-02345 x072000

071820003579ABCarrierK2468Gas&OilCo.PeoriaMortonD-0432120,000

1 9

17 18 28 20 15 26 27 22

23

16

Motor Fuel Uniform SchedulesSchedule “DD” (ENTRY) Record


1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver (If‘08’,mustbesameasField16) N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘DD‘.











13 67-72 6 N DESTINATION CODE Notused.Zerofill. 14 73-73 1 N PURCHASER PETRODEX NotusedbyIDOR.Zerofill. INDICATOR 15 74-93 20 A/N PURCHASER NAME Nameofthepurchaser.Spacefillafter completename.


Page31

Motor Fuel Uniform SchedulesSchedule “DD” (ENTRY) Record (continued)



16 94-113 20 PURCHASER LICENSE NUMBER N 94 - 95 Type Enterpurchaserlicensetype: ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver (If‘08’,mustbesameasField01) N 96 - 100 Sequence# Purchaserlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102- 113 Filler Spacefill.










26 212-226 15 A ORIGIN NAME Enteroriginname.Spacefillaftercomplete 212-224City name. 225-226State 27 227-241 15 A DESTINATION NAME Enterdestinationname.Spacefillater 227-239City completename. 240-241State 28 242-256 15 A CARRIER NAME Entercarriername.Spacefillaftercomplete name.


Page32

8Gas&OilCo.D-04321072000

GoodFood,Inc.1215W.AdamsSpringfield,IL62701A2,000

1 9

15 28 29 30 24 22

25A-AgricultureC-ConstructionF-RefrigerationH-HomeheatingI -IndustrialL-Lawn M-MarineR-RailroadO-Other(Identify)

Motor Fuel Uniform SchedulesSchedule “DD-1” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘DD1‘.









11 57-60 4 A CARRIER CODE Spacefill.

12 61-66 6 N ORIGIN CODE Zerofill.

13 67-72 6 N DESTINATION CODE Zerofill.

14 73-73 1 N PURCHASER PETRODEX NotusedbyIDOR.Zerofill. INDICATOR 15 74-93 20 A/N PURCHASER NAME Nameofthepurchaser.Spacefillafter completename.


Page33

Motor Fuel Uniform SchedulesSchedule “DD-1” (ENTRY) Record (continued)




17 114-119 6 N INVOICE DATE Zerofill.

18 120-131 12 A/N INVOICE NUMBER Spacefill.

19 132-137 6 N BILL OF LADING DATE Zerofill.

20 138-147 10 A/N BILL OF LADING Spacefill.




24 189-189 1 A FUEL USAGE CODE Enter1characterusagecode: ‘A’ - Agriculture ‘C’ - Construction ‘F’ - Refrigeration ‘H’ - Homeheating ‘I’ - Industrial ‘L’ - Lawn ‘M’- Marine ‘R’ - Railroad ‘O’- Other

25 190-198 9 FUEL USAGE DESCRIPTION Iffuelusagecodeis‘O’,specifyotherfuel usagedescription.

26 199-210 12 A FILLER Spacefill. 27 211-211 1 A MEDIA CODE Enter‘D’fordiskette.

28 212-226 15 A PURCHASER STREET ADDRESS Enterstreetaddressofpurchaser. 29 227-241 15 A PURCHASER CITY & STATE Entercity&stateofpurchaser. 227-239City Entercityofpurchaser. 240-241State Enterstateofpurchaser. 30 242-256 15 PURCHASER ZIP CODE Enterzipcodeofpurchaser. N 242-246Zipcode Enter5digitzipcode. N 247-250Zip+4code Enter4digitcodeifknown,elsezerofill. 251-256Filler Spacefill.


Page34

8Gas&OilCo.xR-14321

072000

07172000A1443ShippingCo.C196771-KTestOilCo.Detroit,MIChicagoR-1234511,000

1 9

17 18 31 20 15 29 30 22

26

1625

Motor Fuel Uniform SchedulesSchedule “LA” (ENTRY) Record


1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘08’-forreceiver N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘LA‘.












14 73-73 1 N SELLER PETRODEX INDICATOR NotusedbyIDOR.Zerofill. 15 74-93 20 A/N SELLER NAME Nameoftheseller.Spacefillaftercomplete name.


Page35

Motor Fuel Uniform SchedulesSchedule “LA” (ENTRY) Record (continued)



16 94-113 20 SELLER LICENSE NUMBER N 94 - 95 Type Entersellerlicensetype. ‘08’-forreceiver N 96 - 100 Sequence# Sellerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102 - 113 Filler Spacefill.

17 114-119 6 INVOICE DATE Enteravaliddate. N 114-115Year Enterlast2digitsonly. Example:enteryear2000as‘00’. N 116-117Month 01-12. N 118-119Day 01-31.

18 120-131 12 A/N INVOICE NUMBER Enteraninvoicenumber.Requiredfield.No leadingzeroes.Spacefillatend.


20 138-147 10 A/N BILL OF LADING Enterbillofladingormanifestnumber.No leadingzeroes.Spacefillatend. 21 148-177 30 N FILLER NotusedbyIDOR.Zerofill.


23 188-188 1 N FILLER Zerofill. 24 189-189 1 A STORAGE PERMIT INDICATOR Spacefill.


26 199-199 1 A/N RECEIPT TYPE Enterschedulegallontype. ‘1’-Illinoisreceipts ‘2’-Imported ‘3’-Produced 27 200-210 11 A FILLER Spacefill.




*PRODUCTCODE ----------------------------- AVI - Aviation 1K - Kerosene


Page36

8TestOilCo.x

R-12345072000

07012000CA2435ABCTruckingBL14589DeiselCo.Quincy8,000

1 9

17 18 30 20 15 28 29 22

25

Motor Fuel Uniform SchedulesSchedule “LB” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘LB‘.










12 61-66 6 N ORIGIN CODE Notused.Zerofill. 13 67-72 6 N DESTINATION CODE Notused.Zerofill.



Page37

Motor Fuel Uniform SchedulesSchedule “LB” (ENTRY) Record (continued)













28 212-226 15 A AIRPORT NAME Enterairportnameifsoldtoaircarrier. Spacefillaftercarrier,orbarge,spacefill. 29 227-241 15 A DESTINATION NAME Enterdestinationname.Spacefillafter 227-239City completename. 240-241State 30 242-256 15 A CARRIER NAME Entercarriername.Spacefillaftercomplete name.

*PRODUCTCODE ----------------------------- DSL- Diesel 1K - Kerosene KER- Kerosene AVI - Aviation


Page38

8TestOilCo.R-12345MOx082000

0801200089B24BDFTruckingBL4123Gas&OilCo.GalesburgSt.Louis,MO4,550

1 27

17 18 31 20 15 29 30 22

9

25

Motor Fuel Uniform SchedulesSchedule “LC” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘LC‘.













Page39

Motor Fuel Uniform SchedulesSchedule “LC” (ENTRY) Record (continued)
















*PRODUCTCODE ----------------------------- 1K - Kerosene AVI - Aviation


Page40

8TestOilCo.R-12345x072000

07172000A1244TruckingCo.C19578Gas&OilCo.RockIslandMacombR-1432111,000

1

9

17 18 30 20 15 28 29 22

25

16

Motor Fuel Uniform SchedulesSchedule “LD” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘LD‘.













Page41

Motor Fuel Uniform SchedulesSchedule “LD” (ENTRY) Record (continued)



16 94-113 20 PURCHASER LICENSE NUMBER N 94 - 95 Type Enterpurchaserlicensetype. ‘08’-forreceiver N 96 - 100 Sequence# Purchaserlicensenumber.(Leadingzeroes, if4digitlicensenumber.) N 101 Code Zerofill. A 102 - 113 Filler Spacefill.












*PRODUCTCODE ----------------------------- AVI - Aviation 1K - Kerosene


Page42

8TestOilCo.x

R-12345

072000

07232000A4413ABCTruckingBL145AviationFuelCo.CarbondaleSpringfieldR-15432100,000

1

9

17 18 30 20 15 28 29 2216

25

Motor Fuel Uniform SchedulesSchedule “LE” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘LE‘.













Page43

Motor Fuel Uniform SchedulesSchedule “LE” (ENTRY) Record (continued)



16 94-113 20 SELLER LICENSE NUMBER N 94 - 95 Type Entersellerlicensetype: ‘08’-forreceiver N 96 - 100 Sequence# Sellerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102 - 113 Filler Spacefill.






23 188-188 1 N FILLER Zerofill. 24 189-189 1 A FILLER Spacefill.






*PRODUCTCODE ----------------------------- 1K - Kerosene AVI - Aviation DYE- DyedDiesel


Page44

8Gas&OilCo.D-04321

x

072000x

071820003579TransportCo.K2468TestOilCo.Madison,WIRockfordD-0234520,000

1

9

17 18 30 20 15 28 29 22

2523

16

Motor Fuel Uniform SchedulesSchedule “SA” (ENTRY) Record


1 1-17 17 FILER LICENSE N 1-2Type Enterfilerlicensetype. ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver (if‘08’,mustbesameasField16) N 3-7Sequence# Filerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 8Code Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Enter‘SA‘.










12 61-66 6 N ORIGIN CODE Notused.Zerofill.. 13 67-72 6 N DESTINATION CODE Notused.Zerofill.



Page45

Motor Fuel Uniform SchedulesSchedule “SA” (ENTRY) Record (continued)



16 94-113 20 SELLER LICENSE NUMBER N 94 - 95 Type Entersellerlicensetype: ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver (If‘08’,mustbesameasField01) N 96 - 100 Sequence# Sellerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102 - 113 Filler Spacefill.



19 132-137 6 BILL OF LADING DATE Enteravaliddate. N 132-133Year N 134-135Month 01-12. N 136-137Day 01-31. 20 138-147 10 A/N BILL OF LADING Enterbillofladingormanifestnumber.No leadingzeroes.Spacefillatend. 21 148-177 30 N FILLER NotusedbyIDOR.Zerofill.


23 188-188 1 N TAX TYPE Entertaxtype 1-MFT-Freeonly 2-UST-/EIF-Freeonly 3-BothMFT-andUST-/EIF-Free





28 212-226 15 A ORIGIN NAME Enteroriginname.Spacefillafter 212-224City completename. 225-226State



Page46

8Gas&OilCo.D-04321072000

0717200012356CarrierCo.B9750ABXMassTransitMorrisMonmouth15,000

1 9

17 18 29 20 15 27 28 22

Motor Fuel Uniform SchedulesSchedule “SB” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘SB‘.













Page47

Motor Fuel Uniform SchedulesSchedule “SB” (ENTRY) Record (continued)
















Page48

8Gas&OilCo.D-04321MO 072000

071620009531Transport,Inc.B6930TestOilCo.SpringfieldSt.Louis,MO9,000

1

26

17 18 30 20 15 28 29 22

9

Motor Fuel Uniform SchedulesSchedule “SC” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘SC‘.









11 57-60 4 A CARRIER CODE Notused.spacefill.




Page49

Motor Fuel Uniform SchedulesSchedule “SC” (ENTRY) Record (continued)

















Page50

8TestOilCo.D-02345x072000

071820003579ABCarrierK2468Gas&OilCo.PeoriaMortonD-0432120,000

1 9

17 18 28 20 15 26 16 22

23

27

Motor Fuel Uniform SchedulesSchedule “SD” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘SD‘.













Page51

Motor Fuel Uniform SchedulesSchedule “SD” (ENTRY) Record (continued)



16 94-113 20 PURCHASER LICENSE NUMBER N 94 - 95 Type Enterpurchaserlicensetype: ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver (If‘08’,mustbesameasField01) N 96 - 100 Sequence# Purchaserlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102 - 113 Filler Spacefill.












Page52

8Gas&OilCo.D-04321x072000x

071020005134FuelCarrierCo.K5134XYZOilCo.RockIslandMetropolisS-023168,500

1

9

17 18 30 20 15 28 29 22

23 25

16

Motor Fuel Uniform SchedulesSchedule “SE” (ENTRY) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enter‘SE‘.













Page53

Motor Fuel Uniform SchedulesSchedule “SE” (ENTRY) Record (continued)



16 94-113 20 SELLER LICENSE NUMBER N 94 - 95 Type Entersellerlicensetype: ‘01’-fordistributor ‘02’-forsupplier ‘08’-forreceiver (If‘08’,mustbesameasField01) N 96 - 100 Sequence# Sellerlicensenumber.(Leadingzeroes,if 4digitlicensenumber.) N 101 Code Zerofill. A 102 - 113 Filler Spacefill.





23 188-188 1 N TAX TYPE Entertaxtype. 1-MFT-Paidonly 2-UST-/EIF-Paidonly 3-BothMFT-andUST-/EIF-Paid

24 189-189 1 A STORAGE PERMIT INDICATOR Spacefill. 25 190-198 9 A PRODUCT CODE Enter3characterproductcode.* Ifnotcontainedwithincodetable,enter productname. 26 199-210 12 A FILLER Spacefill.





*PRODUCTCODE ----------------------------- SPF- Specialfuel(excludingdyeddiesel) 1K - Kerosene


Page54

Motor Fuel Uniform SchedulesTotal “S” (SCHEDULE TOTAL) Record



2 18-20 3 A IDOR SCHEDULE TYPE Enterscheduletypebeingtotalled.



5 25-25 1 A RECORD TYPE Entrytype.Enteran‘S’forscheduletype totalrecord.

6 26-26 1 A FILING INDICATOR Transactiontypeindicator. ‘O’-Originaldata








14 102-116 15 N SCHEDULE NET GALLONS Totalinvoicedgallonsfromthespecified scheduletype.Format9(14)V9.See instructionsonPage7. 15 117-126 10 A FILLER Spacefill.

16 127-136 10 N TOTAL ORIGINAL ENTRIES Totalofalloriginalentryrecordsforthis scheduletype.

17 137-146 10 N TOTAL CORRECTION ENTRIES Totalofallcorrectionentryrecordsforthis scheduletype.

18 147-156 10 N TOTAL REVERSAL ENTRIES Totalofallreversalentryrecordsforthis scheduletype.

19 157-166 10 N TOTAL NEGATIVE ENTRIES Totalofallnegativeentryrecordsforthis scheduletype.



Page55

Motor Fuel Uniform SchedulesTotal “V” (LICENSE TOTAL) Record



2 18-20 3 A IDOR SCHEDULE TYPE Spacefill.



5 25-25 1 A RECORD TYPE Entrytype.Entera‘V’forlicensetotalrecord.









14 102-116 15 N LICENSE NET GALLONS Totalinvoicedgallonsfromallschedulesforthis license.Format9(14)V9.Seeinstructionson Page7.


16 127-136 10 N TOTAL ORIGINAL ENTRIES Totalofalloriginalentryrecordsforthis license.

17 137-146 10 N TOTAL CORRECTION ENTRIES Totalofallcorrectionentryrecordsforthis license.

18 147-156 10 N TOTAL REVERSAL ENTRIES Totalofallreversalentryrecordsforthis license.

19 157-166 10 N TOTAL NEGATIVE ENTRIES Totalofallnegativeentryrecordsforthis license.



Page56

Motor Fuel Uniform SchedulesTotal “Z” (FILE TOTAL) Record


1 1-17 17 FILER LICENSE N 1-8FilerLicense Zerofill. A 9-17Filler Spacefill.

2 18-20 3 A IDOR SCHEDULE TYPE Spacefill.

3 21-22 2 A FILER PERMIT KIND Spacefill.

4 23-24 2 N FILER LICENSE YEAR Zerofill.

5 25-25 1 A RECORD TYPE Entrytype.Entera‘Z’forfiletotalrecord.


7 27-27 1 N FILER PETRODEX INDICATOR Zerofill.





12 72-86 15 N FILLER NotusedbyIDOR.Zerofill. 13 87-101 15 N FILLER NotusedbyIDOR.Zerofill.

14 102-116 15 N FILE NET GALLONS Totalinvoicedgallonsfromallscheduleson thefile.Format9(14)V9.Seeinstructions onPage7.


16 127-136 10 N TOTAL ORIGINAL ENTRIES Totalofalloriginalentryrecordsforthisfile.

17 137-146 10 N TOTAL CORRECTION ENTRIES Totalofallcorrectionentryrecordsforthisfile.

18 147-156 10 N TOTAL REVERSAL ENTRIES Totalofallreversalentryrecordsforthisfile. 19 157-166 10 N TOTAL NEGATIVE ENTRIES Totalofallnegativeentryrecordsforthisfile.



Page57


Page58

PRINTEDONRECYCLEDPAPERBYTHEAUTHORITYOFTHESTATEOFILLINOIS

RMFT-142(500copies-2/09—PONumber2090588)

magnetic media filing formats for motor fuel reporting

Documents