Form PPT-1 "Petroleum Products Gross Receipts Tax" - New Jersey

What Is Form PPT-1?

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 January 1, 2013;
  • 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 PPT-1 by clicking the link below or browse more documents and templates provided by the New Jersey Department of the Treasury.

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Download Form PPT-1 "Petroleum Products Gross Receipts Tax" - New Jersey

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Division Use Only
Division Use Only
— DLN Stamp—
— Date Stamp—
01-2013
Pursuant to NJSA 54:15B-1 et seq
Petroleum Products Gross Receipts Tax
Form PPT-1
Registration Form &
Replacing PPT-6-B
Application for Direct Payment Permit
Part 1: Business Information
Company Name
Federal Tax ID Number
Trade Name
Date Business in NJ Began
Physical Address
Mailing Address
Company Website Address
Email Address for Point of Contact
Person to Contact Regarding This Application
Title
Phone Number
Business Type (check one)
Corporation
Sole Proprietorship
Partnership
LLC
LLP
Disregarded Entity
Other (specify):
Prior owner (if purchasing an existing business)
New Jersey Tax ID Number
Address, City, State, Zip
Phone Number
Part 2: Owners / Responsible Parties Information
Attach rider if needed. Include Corporate Officers and businesses or individuals owning 10% or more of the company.
Name
FEIN / SSN
Address
% ownership / title
Name
FEIN / SSN
Address
% ownership / title
Name
FEIN / SSN
Address
% ownership / title
Name
FEIN / SSN
Address
% ownership / title
Division Use Only
Division Use Only
— DLN Stamp—
— Date Stamp—
01-2013
Pursuant to NJSA 54:15B-1 et seq
Petroleum Products Gross Receipts Tax
Form PPT-1
Registration Form &
Replacing PPT-6-B
Application for Direct Payment Permit
Part 1: Business Information
Company Name
Federal Tax ID Number
Trade Name
Date Business in NJ Began
Physical Address
Mailing Address
Company Website Address
Email Address for Point of Contact
Person to Contact Regarding This Application
Title
Phone Number
Business Type (check one)
Corporation
Sole Proprietorship
Partnership
LLC
LLP
Disregarded Entity
Other (specify):
Prior owner (if purchasing an existing business)
New Jersey Tax ID Number
Address, City, State, Zip
Phone Number
Part 2: Owners / Responsible Parties Information
Attach rider if needed. Include Corporate Officers and businesses or individuals owning 10% or more of the company.
Name
FEIN / SSN
Address
% ownership / title
Name
FEIN / SSN
Address
% ownership / title
Name
FEIN / SSN
Address
% ownership / title
Name
FEIN / SSN
Address
% ownership / title
Part 3: Business Activities
Describe your business model and regular activities
List your intended suppliers
List your intended customers
List the products you intend to sell
Part 4: Application for Direct Payment Permit
Holding a Direct Payment Permit entitles the holder to purchase petroleum products without being charged the
tax. The Direct Payment Permit holder will pay the tax due directly to the state for any sale or use of a petroleum product.
The Division of Taxation issues Direct payment Permits to entities who will have a sizeable proportion of exempt
customers or who will frequently encounter situations in which the tax will be collected more than once.
The Division of Taxation may not issue a Direct Payment Permit if doing so will increase the tax burden to the
ultimate consumer or if the applicant has other means to avoid negative tax consequences.
This business only needs to register for the
This business requests a Direct Payment Permit.
Petroleum Products Gross Receipts Tax.
No
Direct Payment Permit is requested at this time.
Part 5: Affirmation
The signatory affirms that all information contained in this registration and any attached documents is complete and true.
Any incomplete or incorrect information can result in denial of this application or revocation of the permit.
Signature of owner or authorized officer
Printed Name
Title
Date
T
.
HERE IS NO FEE FOR THIS APPLICATION
Send this completed registration/application to:
Excise Tax Branch
Division of Taxation
Should
you
have
any
questions
regarding
this
PO Box 189
registration/application, please call the Excise Tax Branch at
Trenton, NJ 08695-0189
(609) 633-9057.
—OR—
Email it to:
fuel.tax@treas.state.nj.us
Division Use Only – Determination
Investigation start date:
The applicant is registered for the PPGRT as of
Investigation end date:
The applicant received a DPP effective on
Investigated by:
The application for DPP was denied.
Investigator’s statements:
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