Form GA-1A "Motor Fuel Tax Multiple Schedule of Gasoline Receipts" - New Jersey

What Is Form GA-1A?

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 February 1, 1998;
  • 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 GA-1A by clicking the link below or browse more documents and templates provided by the New Jersey Department of the Treasury.

ADVERTISEMENT
ADVERTISEMENT

Download Form GA-1A "Motor Fuel Tax Multiple Schedule of Gasoline Receipts" - New Jersey

Download PDF

Fill PDF online

Rate (4.6 / 5) 11 votes
GA-1A
State of New Jersey
2-98, R-2
DIVISION OF TAXATION
SCHEDULE * _____________
MOTOR FUEL TAX
PRODUCT CODE ** _____________
MULTIPLE SCHEDULE OF GASOLINE RECEIPTS
(Use a separate form for each schedule and product)
FID No. _______________________________________
Company Name _____________________________________________________________________________ Month of __________________________________ 20 ______
* TYPE OF SCHEDULE
3. Gallons Imported from Another State Direct to
** PRODUCT CODE (PC) - TYPE OF PRODUCT
Customers
1. Gallons Received - Tax Paid
A - Gasoline
D - Quantity Extender
4. GAllons Imported from Another State into Tax
2. Gallons Received from Licensed Motor Fuel
B - Alcohol/Gasoline
E - Other (Identify)
Free Storage
Distributors & Jobbers - Tax Unpaid
C - Aviation Gasoline
5. Other Receipts
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Seller
Date
Invoice or
Acquired From
Federal ID No.
MM / DD / YY
Document No.
Gallons
Name of Carrier
Origin
Destination
All Columns must be completed for each transaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL
THIS FORM MAY BE REPRODUCED
GA-1A
State of New Jersey
2-98, R-2
DIVISION OF TAXATION
SCHEDULE * _____________
MOTOR FUEL TAX
PRODUCT CODE ** _____________
MULTIPLE SCHEDULE OF GASOLINE RECEIPTS
(Use a separate form for each schedule and product)
FID No. _______________________________________
Company Name _____________________________________________________________________________ Month of __________________________________ 20 ______
* TYPE OF SCHEDULE
3. Gallons Imported from Another State Direct to
** PRODUCT CODE (PC) - TYPE OF PRODUCT
Customers
1. Gallons Received - Tax Paid
A - Gasoline
D - Quantity Extender
4. GAllons Imported from Another State into Tax
2. Gallons Received from Licensed Motor Fuel
B - Alcohol/Gasoline
E - Other (Identify)
Free Storage
Distributors & Jobbers - Tax Unpaid
C - Aviation Gasoline
5. Other Receipts
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Seller
Date
Invoice or
Acquired From
Federal ID No.
MM / DD / YY
Document No.
Gallons
Name of Carrier
Origin
Destination
All Columns must be completed for each transaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL
THIS FORM MAY BE REPRODUCED