Form Ft-942 - Diesel Motor Fuel And Motor Fuel Transporter'S Monthly Report
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2FT-942
New York State Department of Taxation and Finance
Diesel Motor Fuel and Motor Fuel Transporter’s Monthly Report
(9/11)
__________ ,
___ .
For the month of
This report is due the 25th of the following month.
(month)
(year)
Business name
Federal employer identification number (EIN)
Telephone number
(
)
Street address
City
State
ZIP code
A
I am a New York registered Article 12-A motor fuel distributor, diesel motor fuel distributor, retailer of non-highway diesel motor fuel only, or distributor of kero-jet fuel only,
currently filing tax returns, and transporting only my own fuel, which is accounted for on my tax return(s).
B
I had no reportable transactions for the reporting period.
C
I ceased operations as of
(Attach license, if applicable; see instructions.)
(mm-dd-yyyy)
Part 1 — Import — Transportation of fuel from a point outside New York State to a point within the state
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Date delivered
Place of origin
Name of importer
EIN of the
Place of destination
Mode of
Identification number
Gallons
Product
*
terminal control number (TCN)
importer (required)
TCN or name, city/state
delivery
of transportation
code
(mm-dd)
or name, city/state
equipment
(see instr.)
See instructions for where to file.
*
From Publication 902, Product Codes for Fuels
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