Form Indiana St 103Dr PDF Details

In this blog post, we will be discussing Indiana St 103Dr. This route is a professional and informative tone. First, we'll give you some information on the road itself. Then, we'll tell you how to best use it for your business purposes. Finally, we'll give you a few reasons why you should consider using Indiana St 103Dr for your next project! Keep reading to learn more! Indiana St 103 Dr is a major thoroughfare in Indianapolis. It runs east to west, connecting I-465 on the east side of Indianapolis with I-70 on the west side of the city. The road is six lanes wide and has a speed limit of 55 mph. Indiana St 103 Dr is an important route for businesses in Indianapolis. It provides direct access to both I-465 and I-70, which makes it a perfect choice for companies that are looking to reach customers in both the east and west parts of the city. In addition, the road is well-maintained and has a speed limit of 55 mph, which makes it ideal for businesses that need to move goods or per

Form NameForm Indiana St 103Dr
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesform st 103 indiana, indiana st103, st 103 tax form printable, indiana st 103 form

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Indiana Department of Revenue




Recap of Prepaid Sales Tax by Distributors


State Form 51068









(R4 / 9-12)

IMPORTANT: This form must be fi led even when no transactions have occured.







1. Taxpayer Identifi cation Number


2. For Tax Period (month/year)


3. Federal Identification Number


















Taxpayer Name



5. Doing Business as Name (DBA)


6. Telephone Number








Street Address, City, State Zip Code



8. Gasoline Distributor Status (Check One)






Qualifi ed Distributor






Non-Qualifi ed Distributor


Which sales tax return are you filing (Check One)

ST-103 ST-103MP None











Section I:


From Whom Did You Buy Fuel?


10. Name of Supplier

11. Address of Supplier

12.Supplier Federal ID Number

13.Total Gallons Purchased

14.Prepaid Sales Tax Paid to Supplier

Note: You Must Complete BOTH Sides of this Form

15. Grand Totals

Instructions for Section I

1.Provide your Indiana Taxpayer Identifi cation Number (TID).

2.What Tax Period (month/year) Note: This report is due the last day of the month following the reporting period.

3.Enter your Federal Identifi cation Number (FID).

4.Provide the Taxpayer’s legal name.

5.List the Doing Business as Name for your company.

6.Please list your company’s telephone number including area code.

7.Provide your business address.

8.Check your Distributor Status.

9.Check which tax return you are filing.

10.List the names of the companies you purchase from.

11.List the address of the companies you purchase from.

12.List your supplier’s Federal Identification Number.

13.List total gallons purchased from each supplier.

14.Provide the amount of prepaid sales tax you paid each supplier.

15.Total the number of gallons purchased and the amount of prepaid sales tax paid for the reporting month.

This report must be fi led MONTHLY. It is due on the last day of the month following the reporting period.

Please check this box if your business has permanently closed and provide the closed date. ____/____/____


To Whom Did You Sell Fuel?

16. Customer’s Name

17. Customer’s Address

18.Customer’s Federal ID Number

19. Total Gallons Sold

20. Exempt Gallons Sold

21. Prepaid RST Collected

All Gallons EXEMPTED and TAXED must be shown

22. Total

Instructions for Section II

16.List your Customer’s Name. (Attach additional sheets if necessary).

17.List your Customer’s Address.

18.List your Customer’s Federal ID Number.

19.List the total gallons of gasoline sold for this month to each customer.

20.List the total tax exempt gallons sold to each customer.

21.List the total amount of Prepaid Sales Tax collected for this month from each customer.

22.Total the amounts of all columns and give the total gallonage and amount collected here.

I declare, under penalties of perjury that this is a true, correct and complete report.

Mail to: Indiana Department of Revenue Excise Tax

P.O. Box 6114 Indianapolis, IN 46206-6114 (317) 615-2552





Printed Name

Authorized Signature



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Step 1: Click on the orange "Get Form" button above. It is going to open our editor so that you could begin completing your form.

Step 2: When you access the online editor, you will see the document all set to be filled out. Aside from filling out different fields, you might also do various other things with the form, such as putting on custom textual content, modifying the initial text, inserting graphics, signing the form, and more.

This PDF form requires particular information to be filled out, therefore you should definitely take whatever time to provide precisely what is required:

1. When submitting the fillable indiana form st 103, make sure to include all necessary fields in their relevant form section. This will help to facilitate the work, making it possible for your details to be processed without delay and appropriately.

Completing segment 1 in indiana st 103 pdf

2. The third part would be to complete these particular fields: Note You Must Complete BOTH Sides, Grand Totals, Instructions for Section I, Provide your Indiana Taxpayer, and List the names of the companies.

Filling in section 2 in indiana st 103 pdf

Always be extremely careful when filling in List the names of the companies and Note You Must Complete BOTH Sides, since this is where a lot of people make some mistakes.

3. The following section will be focused on This report must be fi led MONTHLY, and Please check this box if your - fill out each of these empty form fields.

This report must be fi led MONTHLY, This report must be fi led MONTHLY, and This report must be fi led MONTHLY of indiana st 103 pdf

4. The next section requires your information in the following areas: ID Number. Just be sure you give all requested details to go onward.

Step number 4 for filling out indiana st 103 pdf

5. The pdf must be finalized by going through this section. Below you'll find an extensive listing of form fields that need accurate information in order for your document usage to be faultless: All Gallons EXEMPTED and TAXED, Total, Instructions for Section II, List your Customers Name Attach, Mail to Indiana Department of, Excise Tax PO Box Indianapolis IN, Printed Name, Authorized Signature, Title, and Date.

How one can prepare indiana st 103 pdf stage 5

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