Form DMF-6 "New Jersey Distributor of Motor Fuels Tax Bond" - New Jersey

What Is Form DMF-6?

This is a legal form that was released by the New Jersey Department of the Treasury - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2011;
  • The latest edition provided by the New Jersey Department of the Treasury;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DMF-6 by clicking the link below or browse more documents and templates provided by the New Jersey Department of the Treasury.

ADVERTISEMENT
ADVERTISEMENT

Download Form DMF-6 "New Jersey Distributor of Motor Fuels Tax Bond" - New Jersey

Download PDF

Fill PDF online

Rate (4.5 / 5) 86 votes
Division Use Only — DLN Stamp
Division Use Only — Date Stamp
Surety Instrument N
o
Division of Taxation
Send to:
PO Box 189
Pursuant to NJSA 54:39-101 et seq
Trenton, NJ 08695-0189
3-2011
Tax Bond
New Jersey Distributor of Motor Fuels
Form DMF-6
Principal
Name
Type of Business Entity
DBA
Contact
Phone:
Tax ID N
o
Email
Mailing
Business
Address
Address
Corporate Agent to the Principal
Surety
Name
Name
Address
Address
Email
Phone:
Email
Phone:
Surety Instrument
Amount
Issue Date
Period Covered
From:
To:
if no end date is specified, check here
The Surety is held and firmly bound to the State of New Jersey in the aggregate sum of this bond, to be paid to the State of New Jersey by the Surety or its successors, executors, administrators and assigns, both
jointly and severally. The condition of this obligation is such that, if the above bounden faithfully performs and discharges all the requirements and duties imposed under the Motor Fuel Tax Act, NJSA §54:39-
101 et seq, including payment of all taxes, penalties, interest, and any other obligation, then this obligation is to be void; otherwise to remain in full force and effect.
Signature of Principal
Signature of Surety
Primary
Primary Signature*
Primary Signature †
Printed Name
Printed Name
Primary Signatory’s Title
Date Signed
Primary Signatory’s Title
Date Signed
Witness
Witness’ Signature*
Witness’ Signature †
Printed Name
Printed Name
Witness’ Title
Date Signed
Witness’s Title
Date Signed
*By signing, the principal authorizes the State of New Jersey to make available to the Surety all
† By signing, the Surety agrees to accept the documents, schedules, and returns from the State of
documents, schedules, returns, or any other information related to this bond.
New Jersey as sufficient evidence of liability for this bond.
Acknowledgement
State of
)
Date of Acknowledgement
) SS
County of
)
The principal or authorized representative of the principal named personally appeared before me on the date of this acknowledgement to affirm and verify that he/she is authorized to execute the forgoing
instrument and acknowledged to me that he/she executed this instrument as and for the act and deed of the principal.
Notary Seal
Signature of Notary
Printed Name
Expiration of Commission
Division Use Only — DLN Stamp
Division Use Only — Date Stamp
Surety Instrument N
o
Division of Taxation
Send to:
PO Box 189
Pursuant to NJSA 54:39-101 et seq
Trenton, NJ 08695-0189
3-2011
Tax Bond
New Jersey Distributor of Motor Fuels
Form DMF-6
Principal
Name
Type of Business Entity
DBA
Contact
Phone:
Tax ID N
o
Email
Mailing
Business
Address
Address
Corporate Agent to the Principal
Surety
Name
Name
Address
Address
Email
Phone:
Email
Phone:
Surety Instrument
Amount
Issue Date
Period Covered
From:
To:
if no end date is specified, check here
The Surety is held and firmly bound to the State of New Jersey in the aggregate sum of this bond, to be paid to the State of New Jersey by the Surety or its successors, executors, administrators and assigns, both
jointly and severally. The condition of this obligation is such that, if the above bounden faithfully performs and discharges all the requirements and duties imposed under the Motor Fuel Tax Act, NJSA §54:39-
101 et seq, including payment of all taxes, penalties, interest, and any other obligation, then this obligation is to be void; otherwise to remain in full force and effect.
Signature of Principal
Signature of Surety
Primary
Primary Signature*
Primary Signature †
Printed Name
Printed Name
Primary Signatory’s Title
Date Signed
Primary Signatory’s Title
Date Signed
Witness
Witness’ Signature*
Witness’ Signature †
Printed Name
Printed Name
Witness’ Title
Date Signed
Witness’s Title
Date Signed
*By signing, the principal authorizes the State of New Jersey to make available to the Surety all
† By signing, the Surety agrees to accept the documents, schedules, and returns from the State of
documents, schedules, returns, or any other information related to this bond.
New Jersey as sufficient evidence of liability for this bond.
Acknowledgement
State of
)
Date of Acknowledgement
) SS
County of
)
The principal or authorized representative of the principal named personally appeared before me on the date of this acknowledgement to affirm and verify that he/she is authorized to execute the forgoing
instrument and acknowledged to me that he/she executed this instrument as and for the act and deed of the principal.
Notary Seal
Signature of Notary
Printed Name
Expiration of Commission