Application for Retailer’s Licence of Tobacco and/or Gasoline and Motive Fuel
The personal information on this form is being collected under the authority of the
Gasoline & Motive Fuel Tax Act
and / or
Tobacco Tax Act
. The information will be used for the purposes of tax administration and enforcement. If you have any questions regarding the collection of and use of this information, please contact Program Services, Department of Finance, P.O. Box 3000, Fredericton, NB E3B 5G5. Phone: 1-800-669-7070 or e-mail
* Required fields
PART 1 - Application Options
Application for the year:
Application for Retailer's Licence (New store or new owner of existing store)
Renewal of Retailer's Licence
Has there been a change in ownership?
Are you applying for fuel, tobacco or both?
Gasoline & Motive Fuel
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