Each ethanol distributor shall, not later than the 25th day of each calendar month, render to the department a statement, signed by the distributor, that includes the following:
(1) the number of gallons of ethanol manufactured or imported by the distributor during the preceding calendar month;
(2) the name of each ethanol-blended gasoline dealer to whom the distributor sold ethanol and the number of gallons sold to each dealer; and
(3) other information that the department may reasonably require to administer the tax laws of this state.