Free TC-109FC, AVFC Aviation Fuel Tax Return for Sales to Federally Certificated Air Carriers - Utah

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Utah State Tax Commission

Aviation Fuel Tax Return for Sales to Federally Certificated Air Carriers
at Salt Lake International Airport

AVFC
TC-109FC Rev. 6/09

IMPORTANT NOTICE: Please make address or name corrections to this return. If changes in ownership are made, contact the Tax Commission for appropriate forms/applications.

Name and address

Due date

Tax period

Account number

Check this box if this is an AMENDED return. Enter the amended period in the "Tax period" indicated above: If this will be your LAST return, enter the last day of business: Example: Enter date like this 07 30 09
1 2 3 4 5 6

1. Taxable gallons from TC-109A, line 14 (attach TC-110K3) 2. Tax due before allowance (multiply line 1 by .025) 3. 2% allowance for evaporation, handling and expense of collection (multiply line 2 by .02) 4. Tax total (subtract line 3 from line 2) 5. Penalty and interest 6. TOTAL DUE (add line 4 and line 5) File return, even if tax liability is zero for period
I declare under penalties by law that to the best of my knowledge this is a true and correct return.

Authorized Signature

Telephone

Date

Return ENTIRE form, coupon, and payment to the Utah State Tax Commission TC-109FC Rev. 6/09

Tax Type Account number

Filing Period

Amount $ PAID
Make check or money order payable to the Utah State Tax Commission. Do not send cash. Do not staple check to this coupon. Put your account number on your check.

AVIATION FUEL TAX FCAC SLIA UTAH STATE TAX COMMISSION 210 N 1950 W SLC UT 84134-0540

Aviation Fuel Tax Return for Sales at Salt Lake International Airport to Federally Certificated Air Carriers
Line 1. Enter total gallons of aviation fuel sold to Federally Certificated Air Carriers at the Salt Lake International Airport. Should be the same as TC-109A, line 14. Attach TC-110K3. Line 2. Calculate the tax for this category of aviation fuel by multiplying line 1 by .025. Line 3. Calculate the tax allowance for evaporation, handling and collection expense by multiplying line 2 by .02. Line 4. Subtract line 3 from line 2. Line 5. If you want the Tax Commission to calculate penalty and interest, skip this line. Interest will be assessed at the rate prescribed by law from the original due date until paid in full. Penalties will be assessed for failure to file and for failure to pay amount due. If you want to calculate your penalty and interest, follow the instructions in Pub 58, Utah Penalty and Interest available at tax.utah.gov/forms. Line 6. Add line 4 and line 5. Round to the nearest whole dollar. Make check or money order payable to the Utah State Tax Commission and enter that amount in the Amount Paid box on the coupon at the bottom of the tax return. Do not send cash. Do not staple the check to the coupon. Do not separate the coupon - keep attached. Send the entire form, including coupon, and payment to Aviation Fuel Tax Return (FCAC SLIA), Utah State Tax Commission, 210 North 1950 West, Salt Lake City, Utah 84134-0540. If you have questions, please call 801-297-3525 or 1-800-662-4335, ext, 3525 if outside the Salt Lake City area. AMENDED RETURNS An amended return replaces the original return. The amended return must be completely filled out with the appropriate amended changes. After calculating tax due, remit only the additional tax due that was not paid with the original return. File return, even if no tax is due.