by non-Utah licensed distributor
Schedule is for (check one)
Motor Fuel Aviation Fuel
Account number: Account name: Month: TC-110D2 Rev. 6/94
Name of non-li censed customer
Date cl aim was received
Sel ler's invoi ce number
Gross gall ons
Net gal lons
List each state's exports on a separate TC-110D2. Report both the gross gallons and net gallons on this schedule. Enter only the grand total gallons (gross or net) you chose your elected reporting basis to TC-109 or TC-109A. Attach this schedule to form TC-109 or TC-109A and file with the Utah State T ax Commission.
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TC-110D2.CDR