(1) Every person purchasing or otherwise acquiring motor fuel in tank car, truck, or cargo lots and selling the same for delivery in Florida who is not required by the provisions of part I or part II of this chapter to be licensed under s. 206.02 or by the laws of Florida to make reports shall file a statement setting forth:
(a) The name under which such person is transacting business within the state;
(b) The location with street number address of such person’s principal office or place of business within the state; and
(c) The name and address of the owner or the names and addresses of the partners, if such person is a partnership, or the principal officers, if such person is a corporation or association.
(2) On or before the 20th day of each calendar month, such person shall, on forms prescribed by the department, report to the department all purchases or other acquisition and sales or other disposition of motor fuel during the preceding calendar month, giving a record of each tank car, truck, or cargo lot delivered to a point within Florida. Such report shall set forth:
(a) The name and license number of the person from whom each tank car, truck, or cargo lot was purchased or otherwise acquired;
(b) The point of shipment;
(c) To whom sold or shipped;
(d) The point of delivery;
(e) The date of shipment;
(f) The name and license number of the carrier, the initials and number of the car, and the number of gallons contained in the tank car, if shipped by rail;
(g) The name and owner of the boat, barge, or vessel and the number of gallons contained therein, if shipped by water;
(h) The name and license number of the owner of the truck and the number of gallons contained in such truck, if shipped by truck; and
(i) Any other additional information the department may require relative to such motor fuel.
(3) If any person required to file under this section fails to make a complete report, the department shall impose, in addition to any other penalty or interest due, a penalty in the amount of $200.