STATE OF NEW HAMPSHIRE Registration Prepaid Contracts for Petroleum Sales Contracts- RSA 339:79
Registration due: May I, d~
Contact Person:
Contact Person ""A:..ddress (if different) ----'~""""='-'~...L..:=-.,______
\..:necK one ot· mot·e ot: tbe t:oUowing items listed below indicating how the prepaid conuacts are secUI·ed.
1. _0"firm commitment in the form of a futmes contract or other commitment that guarantees that the dealer may purchase, at a tixed price, heating oil, kerosene, or liquefied petroleum gas in an amount not I c.~" than 75 percent of the maximum number of gallon~ that the dealer i~ committed to deliver pursuant to all prepaid contracts entered into by the dealer. The amount of such tu.tures contract may be reduced to reflect any amount of home heating oil, kerosene, or liquefied petroleum gas already delivered to and paid for by the consumer.
2. __ A surety bond, made payabie to the attorney generai, in an amount not iess than 50 percent of the total ~mount cf funds paid to the dealer by consun1ers pursuant to prepaid heating oil, kerosene, or liquefied petroleum ga~ enntraet~
3. __ A letter of credit, made payable to the attorney general, from an FDIC-insmed institution in an amount that renresents 100 nercent of the cost to the dealer of the maximum number of gallons - - - that the dealer is committed to deliver pursuant to all prepaid contracts entered into by the dealer. The cost shall be calculated at the time the contracts are entered into.
4. __ A liquid product inventory of home heating oil, kerosene, or liquefied petwleum gas Hl an amou.n_t equal to 75 percent of the outs~nding volume in gallons that the dealer is obligated to deliver under the terms of rrepaidcontracts in force.
Print Name of Dealer if Business OR President/Officer if Corporation
\~t4 ~lje.o Signature: -~----j~""---''----=..:::~:__~=?______Titie: {) Date: l(- d 7- 6'0 RECEIVED
Mail tn: Department of State. State House Room 204. 107 Nmth Main Street. !'on cord. NH O:BOl APR 2 9 2020 Phone: 603-271-3242 Email: dt:ctiPns"l_l sos.nh.gP\ website: W\VW.so:>.nh.go\ NEW HAMPSHIRE OEPARTMH-11" OF STATE