Form Dmf -10 - Distributor Of Motor Fuels Tax Return
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44Division use only — DLN Stamp
Division use only — Date Stamp
DISTRIBUTOR OF MOTOR FUELS TAX RETURN
DMF-10
—PAGE 1—
Period Reported
Send Tax remittance with report:
State of New Jersey - LMF
MONTH
Division of Taxation
Revenue Processing Center
YEAR
PO Box 243, Trenton, NJ 08646-0243
Taxpayer
ADDRESS
FID #
TELEPHONE NUMBER
CITY
STATE
ZIP
10-2010
This report is due 22 days following the
COLUMN A
COLUMN B
COLUMN C
COLUMN D
end of the month for which the activity
is reported.
Gasoline
Diesel and
LPG
Aviation Fuels
Gallons to Account For
Kerosene
to GAA's
Section 1
Beginning Inventory
1
Taxed Receipts
2
the total of Forms DMF102, DMF202, DMF302, & DMF402
Fuels Purchased with Import Verification Numbers
3
the total of Forms DMF103, DMF203, DMF303, & DMF403
Total of Section 1
4
the total of Lines 1, 2, & 3
Section 2
Section 2
Purchases for Export Directly from Rack
5
the total of Forms DMF105, DMF205, DMF305, & DMF405
Exempt Fuels Received
6
the total of Forms DMF106, DMF206, DMF306, & DMF406
Blendstocks Received
7
the total of Forms DMF107, DMF207, & DMF407
Other Untaxed Purchases
8
the total of Forms DMF108, DMF208, & DMF408
Total Section 2
9
the total of Lines 5, 6, 7, & 8
Tax Calculation
Gallons not Taxed
10
from Line 9
X 0.105
X 0.135
X 0.0525
X 0.02
Tax Rates
11
Tax Amount
$
$
$
$
12
Multiply Lines 10 & 11
Credit Amount
$
$
$
$
13
from Line 27 of this form
Tax Due
$
$
$
$
14
Line 12 minus Line 13 — if less than zero, enter 0
Total Tax Due
15
$
Sum of Columns A, B, C, & D of Line 14
— continued to next page —
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