ContractInternational Fuel Tax Agreement • February 27th, 2017
Contract Type FiledFebruary 27th, 2017International Fuel Tax Agreement (IFTA) License ApplicationNew Jersey Motor Vehicle Commission Motor Carrier Services - Fuel Tax Section 225 East State Street, P.O. Box 133 Trenton, New Jersey 08666-0133(609) 633-9400 Office Use Only Decals Requested : x $10 1 Federal Employer Identification Number Suffix if any OR Social Security Number 2 Legal Name 3 Trade Name 4 Business Telephone Number 5 Street Address City State Zip code 6 Mailing address for license and decals (if different from 5) City State Zip code 7 Mailing address for tax return and information (if different from 5) City State Zip code 8 Type of businessPartnership Individual Corporation Limited Liability Corporation Other (specify) 9 Name Title Telephone Number Email Address 10 Are your vehicles involved in a lease agreement? Yes No If yes, who is responsible for reporting all operations? Lessor Lessee Name of Lessor Name of Lessee Address Address City, State, Zip City, State, Zi