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Monthly Motor-Fuel Consumption

Guide to Reporting Highway Statistics

The public report burden for this information collection is estimated to average 6 hours
MONTHLY MOTOR-FUEL CONSUMPTION State Name

Year

Month of Sale or Transfer

Units (check one)
Gallons
Liters
Item Line
No.
Gasoline


(1)
Gasohol


(2)
Private and Commercial Total


(5)
Highway
Diesel


(3)
Alternate
Fuels


(4)
1. Gross Volume Reported 01          
2. Fully Tax Exempt a. Losses-Flat % 21          
b. Losses-Actual 22          
c. Federal 23          
d. 24          
e. 25          
f. 26          
g. 27          
h. 28          
i. 29          
j. Total (a. thru i.) 30          
3. Gross Volume Taxed (1.-2.j.) 40          
4. Fully Refunded a. Agriculture 51          
b. Aviation 52          
c. Industrial/Commercial 53          
d. Construction 54          
e. Boating 55          
f. 56          
g. 57          
h. 58          
i. 59          
j. 60          
k. 61          
l. 62          
m. 63          
n. 64          
o. 65          
p. 66          
q. 67          
r. 68          
s. 69          
t. Total (a. thru s.) 70          
5. Net Volume Taxed

(Partial Exemption or Refund)
a. At Full Rate 81          
b. Aviation 82          
c. 83          
d. 84          
e. 85          
f. 86          
g. 87          
h. 88          
i. 89          
j. Total (a. thru i., 3.-4.t.) 90          
6. Source a. Agency Preparing this Report  
b. Compiled under Direction of  
Form FHWA-551M (Rev. 10/2005)
NOTES AND TECHNICAL INFORMATION State Name
0
Year
0
Month
0
1. Rate of tax at end of month, in cents per gallon or liter. (If tax is ad valorem, post percentage, and briefly explain basis below.)
  Fuel Type   Rate (cents) Effective Date (mm/dd/yyyy)  
a. Gasoline    
b. Gasohol    
c. Diesel    
d. LPG    
e. CNG    
f. M85    
g. E85    
h. LNG    
i. Biodiesel    
j. Other    
 
2. Rate of Optional Tax at end of month (in cents per gallon)
  Rate Name   Rate (Cents) Effective Date (mm/dd/yyyy) Inpection Fee Comment(s)
Inspection Fee      
Environmental Fee    
Local Option Tax applied Uniformly Across the State    
Other    
3. Computation of gross volume reported (page1, item1.)
  Gasoline Diesel/Kerosene  
Gross sales from sellers' returns    
Plus: IFTA fuel used in State (from users' returns)    
Less: IFTA fuel purchased tax paid in State (from users' returns)    
= Net consumption in State (Enter on page 1, item 1.)  0  0
       
Interstate motor-carrier (fuel use tax) fuel volume shown above Beginning End  
covers the following period: (Specify month or months covered)      
4. Stratification of Gasohol by Blend Ratio
The gasohol volume shown on page 1, column (2) includes:
(Show actual/estimated volume or percentage shares)
  Percent Alcohol   Volume Percentage Share  
  5.7-7.6%        
7.7-9.9%    
10 + %    
5. Notes and Comments

Form FHWA-551M (Rev. 10/2005)