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Get and Sign Texas 168 Form
Chapters 552 and 559, Government Code, to review, request and correct
information we have on file about you. Contact us at the address or phone number listed on this form.
SECTION I - RECEIPTS (See instructions)
1. Gallons of dyed diesel fuel purchased
tax free from other license holders
(from attached Schedule, Form 06-145)
2. Gallons removed from IRS Registered Terminal Texas tax paid to
licensed supplier (from attached Schedule, Form...
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