Office of Highway Policy Information (OHPI) – Highway Finance Data Collection – A Guide to Reporting Highway Statistics

State Motor-Fuel Tax Receipts and Initial Distribution by Collection Agencies

Guide to Reporting Highway Statistics | Form 1 | Form 2

ITEM			VOLUME TAXES		OTHER RECEIPTS (C)	TOTAL (D)
The public report burden for this information collection is estimated to average 12 hours.			FORM APPROVED OMB NO. 2125-0032
STATE MOTOR-FUEL TAX RECEIPTS ANDINITIAL DISTRIBUTION BY COLLECTION AGENCIES					STATE NAME:
					YEAR ENDING (mm/yy):
ITEM			GASOLINE (A)	SPECIAL FUELS (B)	OTHER RECEIPTS (C)	TOTAL (D)
1. Receipts for Year
a. Volume Tax Collections	(1) Gross collections by distributor
	(2) Less: distributor allowance for collection expense
	(3) Gross receipts by State	(1) - (2)
	(4) Less: refunds and credits
	(5) Net receipts	(3) - (4)
b. All Other Receipts Under Motor-Fuel Tax Laws	(1) Distributor and dealer licenses
	(2) Motor-fuel inspection fees
	(3) Fines, penalties, and interest
	(4) Motor-carrier fuel tax registration (decals)
	(5) Alternative fuel tax decals (inlieu of volume tax)
	(6)
	(7)
	(8)
	(9)
	(10) Total	(1) thru (9)
c. Net Total Receipts		a. + b.
2. Nonhighway Dedications of Volume Tax from Nonhighway Gasoline	a.
	b.
	c.
	d.
	e. Total	a. thru d.
3. Adjusted Total Receipts		1 - 2
4. Deductions by State Collecting Agency ¹	a. Expense of Collecting & Administering Volume Taxes
	b. Expense of Inspecting Motor Fuel
	c.
	d. Total	a. + b. + c.
5. Net Proceeds Available for Distribution		3. - 4.
6. Balance Undistributed at End of Previous Year
7. Total Funds Available for Distribution		5. + 6.
8. Amounts Distributed (Specify Fund or Purpose)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k. Total		a. thru j.
9. Balance Undistributed at End of Year		7. - 8.
¹ If collecting agency activities are funded by another revenue source, note this fact and provide the actual collection and administrative expenses in a footnote.

Form FHWA-556 (Rev 07-2000)

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Page last modified on November 7, 2014