This document is a carrier's monthly report form for shipments of special fuel in Utah. It requires the carrier to provide information such as the date of shipment, gallons shipped, origin and destination for each shipment made during the reporting month. The carrier must sign and date the form to certify that the information provided is true, correct and complete before mailing it to the Utah State Tax Commission.

1. Clear form
Utah State Tax Commission
TC-334
Carrier’s Monthly Report of Shipments Rev. 1/97
Of Special Fuel
THIS REPORT MUST BE FILED EVEN IF NO SHIPMENTS WERE MADE.
Name, address, city, state and ZIP code. Correct any errors. THIS RETURN IS DUE ON THE LAST
DAY OF THE FOLLOWING MONTH
Tax Period
Account number
Use this number on all references
Invoice or True name
Date Gallons Origin Consignee Destination
Car number of product
I certify that this return, including any accompanying schedules, has been examined by me and to the best of my
knowledge is a true, correct and complete return.
Title Date
Signed
Mail to: Carrier’s Monthly Report - Special Fuel
Telephone Auditing Division
Utah State Tax Commission
Telephone: (801) 297-2200 for assistance 210 North 1950 West
(1-800-662-4335 outside Salt Lake City but inside Utah) Salt Lake City, Ut 84134