Form PPT-9 Termination of Registration and/Or Direct Payment Permit - New Jersey

Form PPT-9 is a New Jersey Department of the Treasury form also known as the "Termination Of Registration And/or Direct Payment Permit". The latest edition of the form was released in October 1, 2010 and is available for digital filing.

Download a PDF version of the Form PPT-9 down below or find it on New Jersey Department of the Treasury Forms website.

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Division Use Only
Please send this form to:
— DLN Stamp—
Division of Taxation
PO Box 189
Trenton, NJ 08695-0189
-or-
Email to: fuel.tax@treas.nj.gov
10-2010
Pursuant to N.J.S.A. 54:39-101 et seq
Petroleum Products Gross Receipts Tax
Form PPT-9
Termination of Registration and/or
Direct Payment Permit
Company Name
Address
ID #
Phone #
Address
Requested date of termination
City, State Zip
Email:
Phone:
Briefly state the reason you are terminating your registration / permit:
State the quantity of fuels held in inventory
Gasoline
Diesel
AvGas
Jet Kerosene
Kerosene
LPG
State the type and value of other petroleum products held in inventory
State the disposition of the property and business. If sold, state the name, address, and ID# of purchaser or purchasers.
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 that require registration for the Petroleum
Products Gross Receipts Tax. This company’s final report is the quarterly return in which the termination date is included. I
understand that the company must make all outstanding payments and file all outstanding reports before the Division of
Taxation will deactivate the registration.
Signature – must be signed by owner or corporate officer
Date Signed
Printed Name
Title
Division Use Only
Please send this form to:
— DLN Stamp—
Division of Taxation
PO Box 189
Trenton, NJ 08695-0189
-or-
Email to: fuel.tax@treas.nj.gov
10-2010
Pursuant to N.J.S.A. 54:39-101 et seq
Petroleum Products Gross Receipts Tax
Form PPT-9
Termination of Registration and/or
Direct Payment Permit
Company Name
Address
ID #
Phone #
Address
Requested date of termination
City, State Zip
Email:
Phone:
Briefly state the reason you are terminating your registration / permit:
State the quantity of fuels held in inventory
Gasoline
Diesel
AvGas
Jet Kerosene
Kerosene
LPG
State the type and value of other petroleum products held in inventory
State the disposition of the property and business. If sold, state the name, address, and ID# of purchaser or purchasers.
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 that require registration for the Petroleum
Products Gross Receipts Tax. This company’s final report is the quarterly return in which the termination date is included. I
understand that the company must make all outstanding payments and file all outstanding reports before the Division of
Taxation will deactivate the registration.
Signature – must be signed by owner or corporate officer
Date Signed
Printed Name
Title

Download Form PPT-9 Termination of Registration and/Or Direct Payment Permit - New Jersey

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