Moody, AL · St. Clair County
Gas and Motor Fuel Distributor Statement
This monthly statement reports gasoline, diesel, and other liquid motor fuel sold, distributed, or consumed within Moody, and is filed by the distributor or its representative for each location.
At a glance
- Issued by
- City of Moody · Moody, St. Clair County, Alabama
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- assets.caboosecms.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The statement reports monthly gallons of gasoline, diesel, and other liquid motor fuels sold, distributed, or consumed within the City, along with the amount due. The form says a separate statement is required for each location and that the return is due on or before the 20th of each month. A representative completes the business and location details, certifies the information under oath, and returns the form to the City.
Who needs it
A fuel distributor or its authorized representative files this statement for each location where gasoline or other liquid motor fuel is sold, distributed, or consumed within the City.
Why it needs a notary
The form includes a sworn-to-and-subscribed-before-me jurat; the representative who certifies the monthly fuel information signs before the notary.
How to get this notarized
- 1
Download the Statement
Get the Gas and Motor Fuel Distributor Statement from the City of Moody.
- 2
Complete the Monthly Details
Enter the reporting month, representative and business details, location, fuel gallons, and amounts due.
- 3
Book an Online Notary
Arrange an online notarization for the representative who will certify the statement under oath.
- 4
Sign on Video
Sign the statement before the commissioned online notary and complete the jurat.
- 5
Submit to the City
Return the notarized statement to the City of Moody by the 20th of the month.
Preview the form
The blank PDF straight from Moody. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the fuel distributor statement?
- Complete a separate statement for each location, sign it before a notary, and return it to the City by the 20th of the month. The form lists the City’s address and phone number.
- Do I need a separate statement for each fuel location?
- Yes. The form says a separate statement is required for each location where any form of liquid motor fuel is sold, distributed, or consumed within the City.
- Can I sign this form with an online notary?
- The form requires a sworn statement and includes a jurat. Ask Rush to confirm that a commissioned online notary’s authority, official seal, and remote process meet the City’s filing requirements.
- What if I am unsure whether the City will accept my notarized form?
- The form does not explain online notarization acceptance. Confirm with the city or town if unsure.