Form Mfa-1 - Combined Motor Fuels License Application Page 5
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11Section 8 – Business Activity; License Requested
Check all that apply.
Supplier of Motor Fuels
An Application Fee of $450 is due for a 3-year license.
1.
You are registered or required to be registered pursuant to Section 4101 of the Federal Internal Revenue Code of 1986 and one or more of A through E.
A.
You are a Position Holder in a terminal in New Jersey (List each Terminal and its location).
B
You export fuel from this State (List the states to which you export and your license number in each state).
C.
You Import as a Position Holder in another state (List the states from which you import and your license number in each state).
D.
You Import from another Position Holder (List the Position Holders, the Position Holder’s license number, and the state).
E.
You acquire Motor Fuel in this State by two-party exchanges (List exchange partners and their license number).
2.
You produce Fuel Grade Alcohols in New Jersey or for import into New Jersey.
Permissive Supplier of Motor Fuels
An Application Fee of $450 is due for a 3-year license.
You are an out-of -State Supplier who is not required to be licensed as a Supplier in this State, but you elect to be licensed anyway.
An Application Fee of $450 is due for a 3-year license for each
Terminal Operator
Terminal Operated.
1.
You own one or more Terminals in New Jersey (List each Terminal, state whether it is a barge, pipeline, or fixed location, and its location).
2.
You control one or more Terminals in New Jersey (List each Terminal, state whether it is a barge, pipeline, or fixed location, and its location).
3.
You commingle products with those of another company (List each company and the products commingled).
Distributor of Motor Fuels
An Application Fee of $450 is due for a 3-year license.
1.
You acquire Fuel from a Supplier, Permissive Supplier, or another Distributor for subsequent resale.
2.
You import Fuel from another state (List the states, Suppliers, each Supplier’s license number and the products imported).
3.
You export Fuel to another state (List the states, customers, each customer’s license number, and the products exported).
4.
You blend Fuels (List the types of fuels you blend and the blendstocks used).
5.
You sell Aviation Fuel.
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Parent category: Financial