Form Omf-11 Draft - Terminal Operator Report Page 4
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4Division use only - DLN Stamp
Month
Year
Pursuant to NJSA 54:39-101 et seq
10-2010
Schedule of Terminal Operator Inventories
OMF-103
Form must be completed listing each Position Holder in numerical order by FID#. A separate form is required for each product.
Products reported should include all products maintained in the terminal. For a list of product codes refer to the FTA product code list.
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Taxpayer
Taxpayer ID #
Position Holder FID#
Position Holder
Ending Inventory
Beginning Inventory
Receipts
Disbursements
Gain (Loss)
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