Form Tmf-10 - Transporter Of Motor Fuels Report

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Division use only — DLN Stamp
Division Use Only - Date Stamp
Month
Year
Send Report and all Schedules To:
Division of Taxation - Excise Tax Branch
P.O. Box 189
Pursuant to NJSA 54:39-101 et seq
Trenton NJ 08695-0189
11-2010
Transporter of Motor Fuels Report
TMF-10
Transporter:
9 digit FID#
Address:
Contact
Phone No
Diesel &
Gasoline
LPG
Aviation Fuel
Kerosene
Gallons of Fuel Transported within New Jersey (Intrastate)
1
From forms TMF101, TMF201, & TMF, 301
Gallons of Fuel Transported out of New Jersey (Exports)
2
From forms TMF102, TMF202, & TMF302,
Gallons of Fuel Transported into New Jersey (Imports)
3
From forms TMF103, TMF203, & TMF303,
4
Total Gallons of Fuel Transported
By signing, I declare under the penalties provided by the law that this return (including any accompanying schedules and statements)
has been examined by me and to the best of my knowledge and belief is a true, correct, and complete return. If the report is
incomplete or inaccurate, it can be considered as not filed.
Printed Name
Signature of Duly Authorized Officer of Taxpayer
Title
Date
Printed Name
Preparer's Signature
Title
Date
Preparer's Address
Phone #
Preparers ID#

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Parent category: Financial