(A) A person purchasing gallons tax-exempt acquired pursuant to Section 12-28-740(1) for resale to government entities exempted under Section 12-28-710 shall file a report.
(B) The report must contain:
(1) total volume of net gallons acquired from the authorized supplier tax-exempt;
(2) identification of authorized supplier;
(3) a detailed listing of the bulk deliveries to each tax-exempt person segregated by authorization code;
(4) date of deliveries;
(5) volume delivered;
(6) amount of excess tax-exempt gallons sold over purchases or excess of tax-exempt purchases over sales;
(7) the amount of penalty at ten percent of the amount by which excess of tax-exempt purchases over sales exceeds five percent of tax-exempt purchases;
(8) other information the department may require;
(9) sworn statement by the vendor as to the accuracy of the information contained in the report.