| The public report burden for this information collection is estimated to average 6 hours |
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State Name |
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Year |
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MONTHLY MOTOR-FUEL CONSUMPTION |
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NOTE: This collection of information is required by 23 U.S.C. 104 (b) and 105 (b); and 23 C.F.R. 1.5 and 420.105(b). Public reporting burden is estimated to average 6 hours per response. The Guide data is used by FHWA in administering the Federal-Aid Highway Program; in assessing highway policies, programs and performance of the Nation’s highway transportation system; in identifying future highway system investment needs; and in making policy and program recommendations. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0032, which expires on XX/XX/XXXX. |
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Month of Sale or Transfer |
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Units (check one) |
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Gallons |
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Liters |
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Private and Commercial |
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Item |
Line |
Gasoline |
Gasohol |
Highway |
Alternate |
Total |
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No. |
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Diesel |
Fuels |
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(1) |
(2) |
(3) |
(4) |
(5) |
| 1. Gross Volume Reported |
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01 |
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| 2. Fully |
a. Losses-Flat % |
21 |
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| Tax |
b. Losses-Actual |
22 |
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| Exempt |
c. Federal |
23 |
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d. |
24 |
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e. |
25 |
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f. |
26 |
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g. |
27 |
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h. |
28 |
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i. |
29 |
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j. Total (a. thru i.) |
30 |
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| 3. Gross Volume Taxed (1.-2.j.) |
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40 |
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| 4. Fully |
a. Agriculture |
51 |
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| Refunded |
b. Aviation |
52 |
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c. Industrial/Commercial |
53 |
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d. Construction |
54 |
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e. Boating |
55 |
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f. |
56 |
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g. |
57 |
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h. |
58 |
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i. |
59 |
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j. |
60 |
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k. |
61 |
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l. |
62 |
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m. |
63 |
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n. |
64 |
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o. |
65 |
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p. |
66 |
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q. |
67 |
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r. |
68 |
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s. |
69 |
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t. Total (a. thru s.) |
70 |
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| 5. Net |
a. At Full Rate |
81 |
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| Volume |
b. Aviation |
82 |
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| Taxed |
c. |
83 |
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d. |
84 |
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| (Partial |
e. |
85 |
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| Exemption |
f. |
86 |
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| or |
g. |
87 |
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| Refund) |
h. |
88 |
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i. |
89 |
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j. Total (a. thru i., 3.-4.t.) |
90 |
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| 6. Source |
a. Agency Preparing this Report |
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b. Compiled under Direction of |
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| Form FHWA-551M (Rev. 10/2005) |
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State Name |
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0 |
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| NOTES AND TECHNICAL INFORMATION |
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Year |
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0 |
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Month |
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0 |
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| 1. Rate of tax at end of month, in cents per gallon or liter. |
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| (If tax is ad valorem, post percentage, and briefly explain basis |
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| below.) |
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Fuel Type |
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Rate (cents) |
Effective Date (mm/dd/yyyy) |
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a. Gasoline |
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b. Gasohol |
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c. Diesel |
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d. LPG |
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e. CNG |
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f. M85 |
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g. E85 |
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h. LNG |
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i. Biodiesel |
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j. Other |
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| 2. Rate of Optional Tax at end of month (in cents per gallon) |
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Rate Name |
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Rate (Cents) |
Effective Date (mm/dd/yyyy) |
Inpection Fee Comment(s) |
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Inspection Fee |
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Environmental Fee |
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Local Option Tax applied Uniformly Across the State |
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Other |
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| 3. Computation of gross volume reported (page1, item1.) |
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Gasoline |
Diesel/Kerosense |
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| Gross sales from sellers' returns |
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| Plus: IFTA fuel used in State (from users' returns) |
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| Less: IFTA fuel purchased tax paid in State (from users' returns) |
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| = Net consumption in State (Enter on page 1, item 1.) |
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0 |
0 |
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| Interstate motor-carrier (fuel use tax) fuel volume shown above |
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Beginning |
End |
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| 4. Stratification of Gasohol by Blend Ratio |
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| The gasohol volume shown on page 1, column (2) includes: |
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| (Show actual/estimated volume or percentage shares) |
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Percent Alcohol |
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Volume |
Percentage Share |
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5.7-7.6% |
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7.7-9.9% |
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10 + % |
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| 5. Notes and Comments |
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| Form FHWA-551M (Rev. 10/2005) |
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2 |
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