Form Rfm-10 - Combined Motor Fuel Tax Return - State Of New Jersey Division Of Revenue
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11Division use only — DLN Stamp
Division use only — Date Stamp
Period
Send to:
yyyy
Division of Revenue
mm
PO Box 243
Pursuant to NJSA 54:39-101 et seq
01-2011
Trenton, NJ 08695-0243
Combined Motor Fuel Tax Return
RMF-10
Ultimate Vendors-Blocked Pumps, AvFuel Dealers, LPG Dealers, & Consumers
Taxpayer Name
Address of Taxpayer
FID #
Contact Person
and Phone #
Trade Name
1. Ultimate Vendor-Blocked Pump
3. Aviation Fuel Dealer
Exempt Kerosene Sales
AST Exempt Sales
Line
Line
1
11
From Schedule RMF201
from Schedule RMF411
Taxable Kerosene Sales
AST Non-Exempt Sales
Line
Line
2
12
From Schedule RMF202
From Schedule RMF412
Tax Due
Tax Due
Line
Line
3
13
Multiply Line 3 by 0.135
Multiply Line 12 by .02
Tax Paid on Purchases
Tax Paid to Provider
Line
Line
4
14
From Schedule RMF204
From Schedule RMF414
Tax Due - UVB
Tax Due - AST
Line
Line
if less than zero,
enter 0
5
15
Line 3 minus Line 4
Line 13 minus Line 14
2. LPG Dealer
4. Consumer Tax Liability
Exempt Sales
Consumer's Tax Liability
Line
Line
6
16
From Schedule RMF306
from Schedule RMF516
Taxable Sales
Line
7
From Schedule RMF307
Tax Due
Line
8
Multiply Line 7 by .0525
5. Total Tax Due
Tax Paid to Provider
Line
9
Line
Total Tax Due
From Schedule RMF309
Tax Due - LPG
17
Total of Lines 5,10,15,16
Line
if less than zero,
enter 0
10
Line 8 minus Line 9
The signature of the authorized individual affirms that all
information contained in this report, as well as the
Printed Name
attached schedules and documents, is complete and
true, to the best of the knowledge of the signator.
Signature
Incomplete or inaccurate information subjects this
Date
taxpayer to penalties and interest.
Signed
Title
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