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IRS Publication

The Form 720-CS is used by carriers to report summary information for excise tax on certain fuels. It requires the carrier to provide identifying information and summarize receipts and deliveries of different product codes (PCs) of fuel for each reporting month. Schedule A is used to report receipts by PC for each receiving facility, including details of the consignor, transport mode, and gallons received. Schedule B similarly reports deliveries by PC for each delivery facility. The totals from Schedules A and B are entered on the Form 720-CS to report the net gallons received and delivered for each PC during the reporting month.

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20 views3 pages

IRS Publication

The Form 720-CS is used by carriers to report summary information for excise tax on certain fuels. It requires the carrier to provide identifying information and summarize receipts and deliveries of different product codes (PCs) of fuel for each reporting month. Schedule A is used to report receipts by PC for each receiving facility, including details of the consignor, transport mode, and gallons received. Schedule B similarly reports deliveries by PC for each delivery facility. The totals from Schedules A and B are entered on the Form 720-CS to report the net gallons received and delivered for each PC during the reporting month.

Uploaded by

Francis Wolfgang Urban
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form

720-CS
Carrier

(Rev. September 2010) Department of the Treasury Internal Revenue Service

Carrier Summary Report


For the month ending , 20 .

OMB No. 1545-1733

Part I

Corrected

Void

Company name Address (number, street, room or suite number)

Employer identification number (EIN) Form 637 registration number

City, state, and ZIP code (Foreign addresses, include province and postal code as appropriate. Do not abbreviate country name.) Contact person Daytime telephone number Fax number Email address

Part II

Transactions for the Month Net Gallons (attach additional schedule(s) if needed)
Enter the transactions for the period on Schedules A and B, then complete lines 1 and 2 for each product code (PC) (see instructions).

(a) PC: 1
Total receipts. Enter the total net gallons from Schedule(s) A, column (g), by PC. If you have receipts from more than one facility for a PC, add the amounts from each facility's Schedule A and enter the combined total by PC. Total deliveries. Enter the total net gallons from Schedule(s) B, column (g), by PC. If you have deliveries to more than one facility for a PC, you must add the amounts from each facilitys Schedule B and enter the combined total by PC.

(b) PC: PC:

(c) PC:

(d)

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Signature Title, if applicable Date

Type or print your name below signature. For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 73073H Form 720-CS (Rev. 9-2010)

Form 720-CS (Rev. 9-2010) Carrier name as shown on Form 720-CS EIN Form 637 registration number

Corrected

Void

Page 2

For the month ending (enter MM/DD/YYYY)

Schedule A

Carrier Receipts
Facility control number

Facility name. Complete a separate Schedule A for each facility.

Page

of

1 Product Code (PC). Enter the PC (see instructions). A separate schedule is


required for each PC . . . . . . . . . . . . . . . . . .

For more than one Schedule A, for each different PC, number each sheet. For example, 1 of 4, 2 of 4, etc.

2 Enter in the columns below the information requested for the PC on line 1 above.
(a) Consignor EIN (b) Consignor name (c) Mode code (d) Vessel official number (required when mode code is B, S, IB, IS, EB, or ES) (e) Document date (f) Document number (g) Net gallons

3 Total. Add all amounts in column (g) and enter the total. If there is more than one page for a PC, add the amounts from each page and enter the result on the
last page of Schedule A for that PC. Do not enter page subtotals. Enter the amount from column (g) on Form 720-CS, Part II, line 1, in the column for the applicable PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Form 720-CS (Rev. 9-2010)

Form 720-CS (Rev. 9-2010) Carrier name as shown on Form 720-CS EIN Form 637 registration number

Page 3 Corrected Void For the month ending (enter MM/DD/YYYY)

Schedule B

Carrier Deliveries
Facility control number

Facility name. Complete a separate Schedule B for each facility.

1 Product Code (PC). Enter the PC (see instructions). A separate schedule is


required for each PC . . . . . . . . . . . . . . . . . .

Page

of

For more than one Schedule B, for each different PC, number each sheet. For example, 1 of 4, 2 of 4, etc.

2 Enter in the columns below the information requested for the PC on line 1 above.
(a) Consignor EIN (b) Consignor name (c) Mode code (d) Vessel official number (required when mode code is B, S, IB, IS, EB, or ES) (e) Document date (f) Document number (g) Net gallons

3 Total. Add amounts in column (g) and enter the total. If there is more than one page for a PC, add the amounts from each page and enter the result on
the last page of Schedule B for that PC. Do not enter page subtotals. Enter the amount from column (g) on Form 720-CS, Part II, line 2, in the column for the applicable PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Form 720-CS (Rev. 9-2010)

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