Form Tmf-10 Draft - Transporter Of Motor Fuels Return & Report Page 6
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7Division use only
Division use only
Send this form & Forms TMF151 with TMF-10 to:
Division of Taxation
Month
Year
PO Box 189
Pursuant to NJSA 54:39-101 et seq
Trenton, NJ 08695-0189
10-2010
Schedule of Release of Liability Notices
TMF500
Transporter
License No
Release of
BOL #(s)
Amount of
Supplier
Supplier's ID #
Liability Notice #
Covered
Liability Covered
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Attach rider
Total Covered by Release of Liability Notices
if necessary
$
Report on Form TMF-10, line 6
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