Form Tmf-10 Draft - Transporter Of Motor Fuels Return & Report
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7Division use only — DLN Stamp
Division use only — Date Stamp
Send Report and Payment to:
Revenue Processing Center
Month
Year
PO Box 243
Pursuant to NJSA 54:39-101 et seq
Trenton, NJ 08646-0243
10-2010
Transporter of Motor Fuels Return & Report
TMF-10
Taxpayer
License #
Address
Gallons
Tax Liability
Gallons of Gasoline transported to or from points in New
1
Jersey — From Form TMF101
$
multiply number of gallons by .105 and enter result
Gallons of Diesel transported to or from points in New Jersey
2
— From Form TMF201
$
multiply number of gallons by .135 and enter result
Gallons of LPG transported to or from points in New Jersey —
3
From Form TMF301
$
multiply number of gallons by .0525 and enter result
Gallons of Aviation Fuels transported to General Aviation
4
Airports in New Jersey — From Form TMF401
$
multiply number of gallons by .02 and enter result
Total Tax Liability
5
$
Add lines 1 through 4
Total Amount Covered by Release of Liability Notices
6
$
From Form TMF500
Total Tax Due
7
Make Check Payable to: State of NJ—MFA
$
Subtract line 6 from Line 5
By signing, I declare under the penalties provided by the law that this return (including any accompanying schedules and statements) has been
examined by me and to the best of my knowledge and belief is a true, correct, and complete return.
If the return is prepared by a person other than the Taxpayer, this declaration is based on all the information relating to the matters required to be
reported in the return of which he has knowledge.
Signature of individual Filing this Report
Company
Date
Signature of Taxpayer or Authorized Officer
Title
Date
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