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IRS Publication

1) This is an IRS Form 720-TO that terminal operators use to report transactions for a given month. 2) It collects information on beginning and ending inventory, total receipts and disbursements by product code for each terminal. 3) Schedules A and B attached to the form provide details on receipts by position holder and disbursements by position holder, product code, destination state, and mode of transport.

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Francis Wolfgang Urban
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19 views3 pages

IRS Publication

1) This is an IRS Form 720-TO that terminal operators use to report transactions for a given month. 2) It collects information on beginning and ending inventory, total receipts and disbursements by product code for each terminal. 3) Schedules A and B attached to the form provide details on receipts by position holder and disbursements by position holder, product code, destination state, and mode of transport.

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.
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Download as PDF, TXT or read online on Scribd
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Form

720-TO
Terminal Operator

Terminal Operator Report


For the month ending , 20 .

OMB No. 1545-1734

(Rev. September 2010)


Department of the Treasury Internal Revenue Service

Corrected

Void

Part I
Company name

Employer identification number (EIN)

Address (number, street, room or suite number)

Form 637 registration number

City, state, and ZIP code

Contact person

Daytime telephone number

Fax number

Email address

Part II

Terminal
Terminal control number (TCN)

Name of terminal

Terminal location

Part III

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 through 7 for each product code (PC) (see the instructions).
(a) PC: PC: (b) PC: (c) PC: (d)

1 2

Beginning inventory. Total receipts. Enter the total net gallons from Schedule(s) A, column (g), by PC. Total gallons available. Add lines 1 and 2. Total disbursements. Enter the total net gallons from Schedule(s) B, column (f). If you have disbursements for more than one position holder for a PC, add the amounts from each position holders Schedule B and enter the combined total by PC. Subtract line 4 from line 3. Stock gains and losses. Show losses in (parentheses). Actual physical ending inventory at terminal.

3 4

5 6 7

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. 73072W

Form

720-TO

(Rev. 9-2010)

Form 720-TO (Rev. 9-2010) Terminal operator name as shown on Form 720-TO EIN TCN

Corrected

Void

Page

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

Schedule A
1

Terminal Operator Receipts


Page of For more than one Schedule A, for each different PC, number each sheet. For example, 1 of 4, 2 of 4, etc.
PH EIN PH Form 637 registration number

Product Code (PC). Enter the PC (see instructions). A separate schedule is required for each PC 1a Position Holder (PH) name. Enter PH name for PCs Bxx, Dxx, and Exx. Enter one name per page. 2

Enter in the columns below the information requested for the PC on line 1 above.
(a) Carrier name (b) Carrier EIN (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

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 A for that PC. Do not enter page subtotals. Enter the amount from column (g) on Form 720-TO, Part III, line 2, in the column for the applicable PC
Form

720-TO

(Rev. 9-2010)

Form 720-TO (Rev. 9-2010) Terminal operator name as shown on Form 720-TO EIN TCN

Corrected

Void

Page

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

Schedule B

Terminal Operator Disbursements by Position Holder


PH EIN PH Form 637 registration number

Position Holder name. Enter one name per page.

Page

of

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

1 2 3

Complete lines 1 through 4 for each PC. Product Code (PC). Enter the PC (see instructions). A separate schedule is required for each PC Destination State (DS). Enter the DS for each PC (see instructions). A separate schedule is required for each PC by state. PC 167 destined for Virginia (VA) and Maryland (MD) requires two schedules Mode Code (MC). Enter the MC (see instructions) for each PC for each DS. PC 167 destined for VA by truck and rail and destined for MD by truck and rail would require four separate schedules: (1) PC 167, VA, rail; (2) PC 167, VA, truck; (3) PC 167, MD, rail; and (4) PC 167, MD, truck

1 2 3

Example. ABC Terminal is preparing Schedule B for disbursements made by position holder XYZ. XYZ disburses gasoline (PC 065), diesel fuel #2 low sulphur undyed (PC 167), and jet fuel (PC 130) during the month destined for two states by truck. ABC must prepare six Schedules B to report XYZs transactions (3 PCs x 2 DSs). A further breakdown by MC is not needed because only truck was used. 4 Enter in the columns below the information requested for the PC on line 1 above.
(a) Carrier name (b) Carrier EIN (c) Vessel official number (required when mode code is B, S, IB, IS, EB, or ES) (d) Document date (e) Document number (f) Net gallons (g) Gross gallons

Totals. Add all amounts in columns (f) and (g) for each PC, DS, or MC. If there are two MCs for a product destined for one state, or if a product is destined for two states, then two Schedules B and totals are required. If there is more than one Schedule B for a PC, DS, or MC, add the amounts from each schedule and enter the result on the last page of Schedule B for each different PC, DS, or MC. Do not enter page subtotals. Enter the amount from column (f) for each PC on Form 720-TO, Part III, line 4, in the column for the applicable PC

5(f)
Form

5(g)

720-TO

(Rev. 9-2010)

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