Form Tmf-9 - Request For Cancellation Of Transporter Of Motor Fuels License

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Division Use Only — DLN Stamp
Division Use Only — Date Stamp
Requested Date of Cancellation
Send to:
Division of Taxation
PO Box 189
Pursuant to NJSA 54:39-101 et seq
Trenton, NJ 08695-0189
10-2010
Request for
Form TMF-9
Cancellation of Transporter of Motor Fuels License
Attach original license
Name
Address
ID #
Phone #
City, State Zip
Briefly state the reason you are cancelling your license
State the disposition of the property and business. If sold, state the name, address, and ID# of purchaser or purchasers.
By signing I am acknowledging that this company will cease all activities requiring a Transporter of Motor Fuels License. This
company’s final report is due on the 20
of the month following the date of cancellation. I understand that in order to
th
effect the cancellation, all outstanding payments must be made and all outstanding reports must be filed.
Signature – must be signed by owner or corporate officer
Date Signed
Printed Name
Title

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