Form Crf-007 - Completion Of The Motor Fuel Distributor Application - 2013
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CRF-007 (Rev. 9/13)
STATE OF GEORGIA
DEPARTMENT OF REVENUE
INSTRUCTIONS FOR COMPLETION OF THE MOTOR FUEL DISTRIBUTOR APPLICATION (CRF-007)
TYPE OR PRINT IN INK – DO NOT USE PENCIL
Use this form to apply for a Motor Fuel Distributor License. Any person who produces, refines, prepares, distills, manufactures, blends,
or compounds motor fuels in this state; imports and/or exports motor fuels for sale; or sells motor fuel to the United States Government,
must obtain a distributor license. In addition, any person who consumes or uses motor fuels or other than gasoline for both highway and
non-highway use or sells this fuel to consumers who have both highway and non-highway use may obtain a distributor license. Any
license issued under Ga. Code 48-9-1 shall indicate the type of motor fuel distributor is licensed to distribute.
A.
INSTRUCTIONS FOR PAYMENT:
A filing fee of $10.00 and completed application for each license type must be attached. Payment is made payable to GEORGIA
DEPARTMENT OF REVENUE. Georgia law stipulates that taxes and fees shall be paid in lawful money of the U.S. and be free
of any expense to Georgia.
A bond must be posted for an amount sufficient to cover three times your monthly tax liability. Your monthly tax liability amount is
the number of taxable gallons times 7 ½ cents plus the applicable state pre-paid tax rate during the period in which you are applying
for your license.
PLEASE NOTE THAT YOUR ACTUAL TAX LIABILTY WILL BE REVIEWED PERIODICALLY WHICH MAY
REQUIRE YOUR BOND TO BE INCREASED.
B.
INSTRUCTIONS FOR COMPLETING:
Line 1 -
Enter your Georgia State Taxpayer Identifier. (If you do not have one, please complete form CRF-002)
Line 2 -
Enter your Georgia Sales Tax number and FEI number (Federal ID). * License will not be issued without these numbers
Line 3 -
If registered with the Secretary of State, enter the name under which your business is legally registered. If you business
is not registered, then enter the name under which you plan to operate.
Line 4 -
Enter the Physical location of your business. * PO BOX IS NOT AN ACCEPTABLE LOCATION ADDRESS
Line 5 -
Check the type Distributor License for which you are applying. *
EACH TYPE MUST HAVE A SEPARATE APPLICATION
Line 6 -
Enter the date (MMDDYY) you will begin distributing motor fuels in Georgia.
* DATE SHALL NOT EXCEED MORE
THAN
30 DAYS BEFORE SUBMISSION OF YOUR APPLICATION
Line 7 -
Check the type business you operate.
Line 8 -
Enter your estimated monthly sales (in gallons) to retail (service stations) and wholesale (other distributors) customers;
and whether the sales will be taxable and/or non-taxable by fuel type.
Line 9 -
Check “YES” or “NO” in the spaces provided for Fuel Oils, LP gas, and Special Fuels.
Line 10 - Enter your estimated monthly volume of imports and/or exports (in gallons) for the Fuel Type listed. *
EXPORTS MUST
BE 10% OF YOUR MONTHLY VOLUME
Line 11 - Enter your vendor account number if you sell motor fuels to the U.S. Government.
Line 12 - Check “YES” or “NO” in the space provided. * EXPORTER ONLY
Line 13 - Enter the state in which you take possession of the fuel.
Line 14 - Enter your estimated monthly usage in gallons, taxable and non-taxable for the fuel types listed.
Line 15 - Enter your estimated monthly usage in gallons of Aviation Gasoline.
C.
INSTRUCTIONS FOR SIGNING:
This application must be signed by the owner, a partner, or an authorized officer of the corporation.
D.
INSTRUCTIONS FOR AFFIDAVIT AND REQUIRED DOCUMENTATION:
The taxpayer must complete Page 3 of Form CRF-007. A notary seal is required in order to process registration application. One
secure and verifiable document must be submitted and attached to the application as required by O.C.G.A. 50-36-1(e)(1). Please scan
and upload the front and back of secure and verifiable document. Keep a copy for your records. Failure to submit required affidavit and
additional documentation will result in denial of registration.
E.
INSTRUCTIO NS FOR MAILING AND REQUESTI NG ADDITIONAL INFORMATION:
The taxpayer should retain a copy of this application for their file and for inspection by the Revenue Commissioner or his agent. Mail the
original to the address shown below. If you have any questions or need assistance in completing the application, call 1 (877) 423-6711,
e-mail TSD-motor-fuel-lic@dor.ga.gov or write to the following address:
Georgia Department of Revenue
Taxpayer Services Division
PO Box 49512
Atlanta, GA 30359-1512
THE PROCESSING OF THIS APPLICATION MAY BE DELAYED UNLESS IT IS PROPERLY SIGNED, PLEASE USE THE CHECK LIST BELOW
BEFORE MAILING APPLICATION(S) TO INSURE THAT THE APPLICATION(S) IS COMPLETE.
[ ] CRF-002 STATE REGISTRATION APPLICATION
[ ] CRF-007 MOTOR FUEL DISTRIBUTOR APPLICATION
[ ] FS-MFD-26 MOTOR FUEL DISTRIBUTOR’S BOND (IF APPLICABLE)
[ ] $10.00 PROCESSING FEE
SIGNATURE REQUIRED ON BOND
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