Motor Fuels Tax Schedule E - Sales To Sellers And Users Of Special Fuels Form

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Motor Fuels Tax

State of New Jersey

Schedule E

Division of Taxation

(11/09)

SCHEDULE E

Sales to Sellers and Users of Special Fuels*

Attach to: Seller - User of Special Fuels Report (MFT-10)

(Attach Riders if Necessary)

Name of Licensee

Federal Identification Number

Month / Year

1. Sales to Sellers and Users of Special Fuels for the month totaling 5,000 gallons or more to any one location. (specify below)

Sold To

Address

FID #

Gallons Sold

TOTAL _________________________

2. Total gallons sold for the month not listed above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _________________________

3. Total gallons sold for the month

(Add lines 1 and 2, enter sum here and on Schedule B column (a) of MFT-10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _________________________

* Definitions: “Seller of Special Fuels” -

means any person who sells fuel capable of generating power in a diesel type engine which will include,

without limitation, diesel fuel, No. 2 fuel oil and kerosene.

“User of Special Fuels” -

means any person who maintains a storage tank of any type equipped with a dispensing device used for

storing and dispensing diesel fuel, No. 2 fuel oil and kerosene for his own use.

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