Section 12, Part C deals with other vehicle operating expenses, including a monthly average expenditure on gasoline, purchases
of oil and other fluids, parking fees, towing charges, docking or landing fees, and expenses for auto repair service policies and clubs.
Since the first of the reference month, what has been the CUs AVERAGE
MONTHLY expense for gasoline and other fuels (including gasohol) to
operate automobiles, trucks, motorcycles, or any other vehicles?
[enter value] _____________
Was any of this expense for the purchase of diesel fuel?
How much?
[enter value] _____________
Was any of the AVERAGE MONTHLY cost counted as a business expense?
How much of the gasoline and other fuels (including gasohol)
expense/amount was counted as a business expense?
[enter value] _____________
Since the first of the reference month, have you or any member of your CU
purchased any oil for operating vehicles, other than oil included
with the purchase of an oil change? Do not include purchases for
vehicles used entirely for business.
What was the total cost?
[enter value] _____________
Was any of this purchased this month?
How much was spent this month?
[enter value] _____________
Since the first of the reference month, not including this month,
have you or any member of your CU purchased any antifreeze, brake fluid,
transmission fluid, or additives, except if purchased with a
tune-up? Do not include purchases for vehicles used entirely
for business.
What was the total cost of these purchases?
[enter value] _____________
Since the first of the reference month, have you or any member of your CU
had expenses for -
Parking, including garage rental, metered parking, and parking
lot fees, except any expenses included in property ownership or
rental costs? Do not include parking expenses that are totally
reimbursed or paid entirely for business.
How much was paid, not including any payments made this month?
[enter value] _____________
Since the first of the reference month, have you or any member of your CU
had expenses for -
Towing charges, not including contracted or pre-paid towing
charges?
How much was paid, not including any payments made this month?
[enter value] _____________
Since the first of the reference month, have you or any member of your CU
had expenses for -
Docking and landing fees for boats and planes?
How much was paid, not including any payments made this month?
[enter value] _____________
Since the first of the reference month, not including the current month,
have you or any member of your CU had any expenses for
auto repair service policies? Do not include service policies
for vehicles used entirely for business.
How much?
[enter value] _____________
Since the first of the reference month, not including the current month,
have you or any member of your CU had any expenses for automobile service clubs, such as AAA?
How much?
[enter value] _____________
Since the first of the reference month, not including the current month,
have you or any member of your CU had any expenses for bottled or tank gas for recreational vehicles, including
vans, campers, and boats?
How much?
[enter value] _____________
End of Section 12C
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Last Modified Date: November 29, 2005