Form Mfa-1 - Combined Motor Fuels License Application Page 11
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11Section 9
Section 13
Complete this section if you are an end user who picks up fuel
Please furnish the requested information for all storage tanks
in a terminal or if you receive, produce, or blend fuel that
you have in New Jersey.
It is not necessary to list
has not been taxed.
individual tanks. Show the total storage capacity for each
product type for each location. If you have no storage in
New Jersey, write “N/A” in the first space.
Section 10
Section 14
Provide the information requested for the companies with
whom you do business. If you deal in more than one
product with a particular company, list it once for each
Complete the sections appropriate for the type of license you
type of product. Under “How product is received,” state
are requesting.
If you are requesting more than one
how your company receives control or possession of the
license, you will need a separate bond for each license.
products listed, e.g., pipeline, rack, rail, barge, etc.
Section 15
Section 11
This section is for Suppliers and Permissive Suppliers only.
Provide the information requested for each transporter hired
Suppliers may complete this section if they choose. Their
by your company.
If you use your own modes of
choice will not affect the rest of the application.
transport, write “Own means of transport” in the first
Permissive Suppliers must complete this section, or the
space, and apply for a Transporter License. If you neither
application will be denied. Other applicants should write
provide modes of transport nor hire transporters, write
“N/A” in the signature space.
“N/A” in the first space.
Section 16
Section 12
This section is to be completed by Distributor applicants who
Suppliers – Provide the requested information for New Jersey
desire recognition as a Qualified Distributor. All others
terminals in which you are a position holder and any out-
should write “N/A” in the signature space. A Distributor
of-state terminals in which you are a position holder and
applicant’s choice not to apply for recognition as a
will collect the New Jersey tax on all removals destined to
Qualified Distributor will not affect the rest of this
New Jersey.
application.
Permissive Suppliers – Provide the requested information for
Section 17
any out-of-state terminal in which you are a position
holder and agree to precollect the New Jersey tax on all
Only an individual listed in Section 5 of this application may
removals destined for New Jersey.
sign this application. Without an appropriate signature,
Terminal Operators – Provide the requested information for
this application cannot be processed.
the New Jersey terminal(s) you operate.
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Parent category: Financial