Division use only — DLN Stamp
Division use only — Date Stamp
Period
Remit with:
DMF-10
RMF-10
Month
Year
—OR—
Distributor of
Retailer of
Pursuant to NJSA 54:39-101 et seq
10-2010
Motor Fuels Return
Motor Fuels Return
MFA400 Airport Safety Tax Liability Schedule
Taxpayer Name
Taxpayer ID#
Tax-free Aviation Fuel Sales - in Gallons
Sales of Aviation Fuel made to Government Entities
1
Sales of Aviation Fuel Exported Directly from the Rack
2
Aviation Gasoline destined for International Airports in New Jersey
3
Taxable Aviation Kerosene Sales made to a licensed Aviation Fuel Dealer
4
Taxable Aviation Gasoline Sales made to an licensed Aviation Fuel Dealer
5
Total Exempt Sales
Total Exempt Sales
6
Sum of Lines 1 through 5
Taxable Sales of Aviation Fuel Destined for New Jersey - in Gallons
Taxable Sales Aviation Kerosene distributed to a New Jersey GAA
7
Taxable Sales Aviation Gasoline distributed to a New Jersey GAA
8
Taxable Aviation Kerosene Sales made to an Unlicensed Aviation Fuel Dealer
9
Taxable Aviation Gasoline Sales made to an Unlicensed Aviation Fuel Dealer
10
Diversion Correction - Aviation Fuel Diverted from New Jersey
11
(
)
Diversion Correction - Aviation Fuel Diverted into New Jersey
12
Total Taxable Sales of Aviation Fuel Distributed to General Aviation
13
Airports - Sum of Lines 7 through 12
X 2¢
Calculation of Tax
Tax Liability for Aviation Fuel for distribution to General Aviation Airports
14
Multiply line 13 by $.02
Credit for previous month's overpayment
15
(
)
Credit for Gallons of Aviation Fuel Purchased with Tax Included
17
(
)
Tax Due for Aviation Fuel
18
Subtract lines 15, 16, & 17 from Line 14. If amount is less than zero, enter 0