Schedule is for Aviation Fuel Only
Account number: Account name: Month:
TC-110J Rev. 6/94
Seller's name and account number
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19.
Ship date
Seller's ivoice number
Gross gallons
Net gallons
Report both the gross gallons and net gallons on this schedule. Enter only the total gallons ( gross or net ) you chose as your elected reporting basis to TC-109A. Attach this schedule to form TC-109A and file with the Utah State T ax Commission.
CONVERSION OF JET FUEL TO NON-A
VIATION USE MA Y BE SUBJECT TO SALES T AX OR 19 ยข EXCISE T AX.
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
Clear form
Print Form
TC-110J.CDR