Form Sft-1- License Application - Massachusetts Department Of Revenue - 2013 Page 3
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2
3ANSWER ALL APPLICABLE QUESTIONS BELOW
OR APPLICATION WILL BE RETURNED
ENTER BELOW LOCATION AND STORAGE CAPACITY FOR EACH SPECIAL FUEL STORAGE FACILITY
CAPACITY
LOCATED IN MASSACHUSETTS:
(GALS.)
a.
b.
c.
d.
e.
f.
SPECIAL FUEL SUPPLY SOURCES IN MASSACHUSETTS. ENTER NAME AND ADDRESS:
a.
b.
c.
d.
e.
f.
NATURE OF BUSINESS:
CHECK FORM OF ORGANIZATION:
CORPORATION
PARTNERSHIP
INDIVIDUAL
ASSOCIATION
OTHER
IF CORPORATION, ENTER STATE IN WHICH INCORPORATED AND DATE OF INCORPORATION:
NAME OF TREASURER:
IF PARTNERSHIP, ENTER NAMES OF PARTNERS AND DATE OF FORMATION OF PARTNERSHIP:
IF ASSOCIATION, ENTER DATE OF ORGANIZATION:
IF INDIVIDUAL, ENTER DATE BUSINESS WAS STARTED:
NUMBER OF SPECIAL FUELS PROPELLED VEHICLES OPERATED:
(SEE FORM IFTA-1 FOR INDIVIDUAL LICENSING OF THESE VEHICLES)
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