Form DMF-10 "Distributor of Motor Fuels Tax Return" - New Jersey

What Is Form DMF-10?

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 October 1, 2010;
  • 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 printable version of Form DMF-10 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 DMF-10 "Distributor of Motor Fuels Tax Return" - New Jersey

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Division use only — DLN Stamp
Division use only — Date Stamp
DISTRIBUTOR OF MOTOR FUELS TAX RETURN
DMF-10
—PAGE 1—
Period Reported
Send Tax remittance with report:
State of New Jersey - LMF
MONTH
Division of Taxation
Revenue Processing Center
YEAR
PO Box 243, Trenton, NJ 08646-0243
Taxpayer
ADDRESS
FID #
TELEPHONE NUMBER
CITY
STATE
ZIP
10-2010
This report is due 22 days following the
COLUMN A
COLUMN B
COLUMN C
COLUMN D
end of the month for which the activity
is reported.
Gasoline
Diesel and
LPG
Aviation Fuels
Gallons to Account For
Kerosene
to GAA's
Section 1
Beginning Inventory
1
Taxed Receipts
2
the total of Forms DMF102, DMF202, DMF302, & DMF402
Fuels Purchased with Import Verification Numbers
3
the total of Forms DMF103, DMF203, DMF303, & DMF403
Total of Section 1
4
the total of Lines 1, 2, & 3
Section 2
Section 2
Purchases for Export Directly from Rack
5
the total of Forms DMF105, DMF205, DMF305, & DMF405
Exempt Fuels Received
6
the total of Forms DMF106, DMF206, DMF306, & DMF406
Blendstocks Received
7
the total of Forms DMF107, DMF207, & DMF407
Other Untaxed Purchases
8
the total of Forms DMF108, DMF208, & DMF408
Total Section 2
9
the total of Lines 5, 6, 7, & 8
Tax Calculation
Gallons not Taxed
10
from Line 9
X 0.105
X 0.135
X 0.0525
X 0.02
Tax Rates
11
Tax Amount
$
$
$
$
12
Multiply Lines 10 & 11
Credit Amount
$
$
$
$
13
from Line 27 of this form
Tax Due
$
$
$
$
14
Line 12 minus Line 13 — if less than zero, enter 0
Total Tax Due
15
$
Sum of Columns A, B, C, & D of Line 14
— continued to next page —
Division use only — DLN Stamp
Division use only — Date Stamp
DISTRIBUTOR OF MOTOR FUELS TAX RETURN
DMF-10
—PAGE 1—
Period Reported
Send Tax remittance with report:
State of New Jersey - LMF
MONTH
Division of Taxation
Revenue Processing Center
YEAR
PO Box 243, Trenton, NJ 08646-0243
Taxpayer
ADDRESS
FID #
TELEPHONE NUMBER
CITY
STATE
ZIP
10-2010
This report is due 22 days following the
COLUMN A
COLUMN B
COLUMN C
COLUMN D
end of the month for which the activity
is reported.
Gasoline
Diesel and
LPG
Aviation Fuels
Gallons to Account For
Kerosene
to GAA's
Section 1
Beginning Inventory
1
Taxed Receipts
2
the total of Forms DMF102, DMF202, DMF302, & DMF402
Fuels Purchased with Import Verification Numbers
3
the total of Forms DMF103, DMF203, DMF303, & DMF403
Total of Section 1
4
the total of Lines 1, 2, & 3
Section 2
Section 2
Purchases for Export Directly from Rack
5
the total of Forms DMF105, DMF205, DMF305, & DMF405
Exempt Fuels Received
6
the total of Forms DMF106, DMF206, DMF306, & DMF406
Blendstocks Received
7
the total of Forms DMF107, DMF207, & DMF407
Other Untaxed Purchases
8
the total of Forms DMF108, DMF208, & DMF408
Total Section 2
9
the total of Lines 5, 6, 7, & 8
Tax Calculation
Gallons not Taxed
10
from Line 9
X 0.105
X 0.135
X 0.0525
X 0.02
Tax Rates
11
Tax Amount
$
$
$
$
12
Multiply Lines 10 & 11
Credit Amount
$
$
$
$
13
from Line 27 of this form
Tax Due
$
$
$
$
14
Line 12 minus Line 13 — if less than zero, enter 0
Total Tax Due
15
$
Sum of Columns A, B, C, & D of Line 14
— continued to next page —
— continued from prior page —
DISTRIBUTOR OF MOTOR FUELS TAX RETURN
DMF-10
—PAGE 2—
Period Reported
MONTH
YEAR
COLUMN A
COLUMN B
COLUMN C
COLUMN D
Gasoline
Diesel and
LPG
Aviation Fuels
Gallons Accounted For
Kerosene
to GAA's
Section 3
Sales to Government Entities
16
the total of Forms DMF116, DMF216, DMF316, & DMF416
Exports from Storage
17
the total of Forms DMF117, DMF217, DMF317, & DMF417
Exports Directly from Rack
18
the total of Forms DMF105, DMF205, DMF305, & DMF405
Unblended Blendstocks
19
the total of Forms DMF119, DMF219, & DMF419
Other Exempt Sales
20
the total of Forms DMF120, DMF220, DMF320, & DMF420
Total Section 3
21
the total of Lines 16, 17, 18, 19, & 20
Section 4
Taxable Sales of Fuels
22
the total of Forms DMF122, DMF222, DMF322, & DMF422
Ending Inventory
23
Total Section 4
24
the total of Lines 22 & 23
Refund Calculation
Gallons to Credit
25
from Line 21
Tax Rates
X 0.105
X 0.135
X 0.0525
X 0.02
26
Credit Amount
$
$
$
$
27
Multiply Lines 25 & 26
Tax Amount
$
$
$
$
28
from Line 12
Credit Due this Period
$
$
$
$
29
Line 27 minus Line 28 — If less than zero, enter 0
Total Refund Due
30
$
Sum of Columns A, B, C, & D from Line 29
Gallons to Account for
31
Add Totals of Sections 1 & 2, from Lines 4 & 9
Gallons Accounted For
32
Add Totals of Sections 3 & 4, from Lines 21 & 24
I declare under penalties provided by law, that this return (including accompanying Schedules and Statements) has been examined by me and to the best of my knowledge and belief is a true,
correct, and complete return. If the return is prepared by a person other than the Taxpayer, this declaration is based on all the information relating to the matters required to be reported in the
return of which there is knowledge.
Date
Signature of Duly Authorized Office of Taxpayer
Title
Date
Signature of Individual Preparing Return
Phone #
Preparer's ID #
Division use only — DLN Stamp
Division use only — Date Stamp
Period
Attatch this Schedule to:
mm
yyyy
Form DMF-10, Distributor's Return
Pursuant to NJSA 54:39-101 et seq
10-2010
Schedule of Gasoline Purchased — Tax Included
DMF102
Organize data by Seller ID#and include a summary of gallons per Seller. Use additional DMF102's if needed.
Licensee
Licensee #
Product
Date Seller ID#
Seller
Carrier ID #
Carrier
Gallons
Code
Document #
Destination City
1
2
3
4
5
6
7
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Total gallons this page
Total Gallons for DMF102
page
of
Report this amount on
DMF-10, Line 2, Column A
Division use only — DLN Stamp
Division use only — Date Stamp
Period
Attach to:
mm
yyyy
Form DMF-10, Distributor Return
Pursuant to NJSA 54:39-101 et seq
10-2010
Schedule of Gasoline Imports with Import Verification Numbers
DMF103
Organize data by Seller ID#and include a summary of gallons per Seller. Use additional DMF103's if needed.
State of Origin
Licensee
Licensee #
Product
Import
Date Seller ID#
Seller
Carrier ID #
Carrier
Gallons
Code
Verification #
Destination City
1
2
3
4
5
6
7
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Total gallons this page
Total Gallons for DMF103
page
of
Report this amount on
DMF-10, Line 3, Column A
Division use only — DLN Stamp
Division use only — Date Stamp
Period
Attach to:
mm
yyyy
Form DMF-10, Distributor Return
Pursuant to NJSA 54:39-101 et seq
10-2010
Schedule of Gasoline Exported Directly from the Rack
DMF105
Organize data by Seller ID#and include a summary of gallons per Seller. Use additional DMF105's if needed.
Destination State
Licensee
Licensee #
Product
Date Seller ID#
Seller
Carrier ID #
Carrier
Gallons
Code
Document #
Destination City
1
2
3
4
5
6
7
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Total gallons this page
Total Gallons for DMF105
page
of
Report this amount on
Form DMF-10, Line 5, Column A