State of New Jersey
MFT-60
(08-04)
Division of Taxation
Motor Fuel Tax
Storage Facility Operator Report
yh
THIS RETURN MUST BE FILED BY THE 20
DAY OF THE MONTH FOLLOWING THE CLOSE OF THE REPORT PERIOD
Taxpayer Name
Federal ID #
Report for the Month of
Street Address
New Jersey Division of Taxation
Mail To This Address:
Motor Fuel Section
PO Box 243
City
State
Zip
Trenton, NJ, 08646-0243
PRODUCT
BEGINNING
RECEIPTS FOR
DISBURSMENTS FOR
ENDING
OWNERSHIP
TYPE
INVENTORY
REPORTING MONTH
REPORTING MONTH
INVENTORY
Column – A
Column – B
Column – C
Column – D
Column – E
Column – F
1
GASOLINE (OWNED)
6
2
SPECIAL FUELS (OWNED)
3
SPECIAL FUELS (OWNED)
4
SPECIAL FUELS (OWNED)
LEASED STORAGE SPACE
PRODUCT
BEGINNING
RECEIPTS FOR
DISBURSMENTS FOR
ENDING
ENTER LESSEE’S NAME
TYPE
INVENTORY
REPORTING MONTH
REPORTING MONTH
INVENTORY
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
1 – KEROSENE
2 – NO. 2 FUEL OIL
PRODUCT TYPE:
6 – GASOLINE
3 – DIESEL FUEL (NO. 1 DIESEL FUEL, NO. 2 DIESEL FUEL AND ENHANCED NO. 2 FUEL OIL)
I declare, under the penalties provided by law, that all of the information contained in this return is true and accurate in every particular.
_________________________________________________________________________________________________________
Signature of Authorized Officer of Taxpayer
Title
Date
_________________________________________________________________________________________________________
Signature of Individual or Firm Preparing Return
Federal Identification Number
Date