Form Mft-14 - Export Report

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MFT-14 (04/04)
State of New Jersey Division of Taxation
For the Month of:
Motor Fuels Tax
PO BOX 189
This report must be received on
Trenton, NJ 08695-0189
th
or before the 20
of the month
Year: ______________________
EXPORT REPORT
following the Report Month.
Name:
FID#
LIC#
Address:
State:
Zip Code:
Schedule of Fuels Exported
Date of
Date of
Method of
Transportation
Received
Purchase
Purchased From
Export
Gallons
Product
Exportation
Operated By
Terminal/Location

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