Form Smf-8 - Verification Of Bulk Transfer
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2Division use only — DLN Stamp
Division use only — Date Stamp
Period
mm
yyyy
Pursuant to NJSA 54:39-101 et seq
The recipient should retain this form for its own records
01-2011
Verification of Bulk Transfer
SMF-8
The seller listed below received this document as a Statement of Good Faith from the purchaser listed below. This document
affirms that the product listed was transferred from one Qualified Terminal to another Qualified Terminal by fuel transportation
vehicle or some other conveyance, and therefore may be considered by the seller as a Bulk Transfer exempt from the tax. Tax is
due from the purchaser upon the purchaser's sale that causes a removal from the Terminal System. The terms of the sale,
whether FOB Origin or FOB Destination, have no impact on the taxability or reportability.
Seller:
This form may be used as a Blanket
form. If so used, check here and
omit BOL numbers and Dates from
the schedules. State only the total
Name
FID #
gallons
transferred
from
one
terminal to another.
Person to contact regarding this transaction Phone #
Buyer:
Name
FID #
Authorized Signature
Person to contact regarding this transaction Phon
Signatory Name
Title
Date
Transaction:
if using this form for more than one transaction,
check here and complete schedule on next page
Terminal
TCN
From:
product:
BOL:
To:
gallons:
Date:
Signature affirms that, under penalty of perjury, the information on this document are true and complete.
Signature affirms the Buyer's understanding that the transaction described on this document is a Bulk Transfer
as defined in NJSA 54:39-102.
The Buyer listed above will issue this document to the Seller. The Seller will not precollect the Motor Fuels Tax
for the listed gallons. The Buyer is responsible for errors or omissions. The Buyer accepts responsibility for any
Motor Fuels Tax consequences arising from this transaction.
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