N.Y. Comp. Codes R. & Regs. tit. 20, § 412.3
(a) Upon each sale of motor fuel, other than transfers made prior to or during the importation of such fuel into this State and retail sales made in the State, the seller is required to give to the purchaser at the time of delivery of the motor fuel a certification:
(2) Where the seller is other than the registered distributor responsible for payment of such taxes, such seller must certify that it is passing through both the motor fuel tax required to be paid pursuant to article 12-A of the Tax Law, and the prepaid tax required to be paid by section 1102 of the Tax Law which taxes were both previously paid or assumed by a registered distributor and passed through to such seller.
Such certification must be on the form prescribed by the Department of Taxation and Finance for such purpose or incorporated, as prescribed by the department, into an invoice or other billing or shipping document. (Also see section 412.4 of this Part with respect to preliminary certifications of tax payment.)
(d) A certification of tax payment is considered to be properly completed when it contains:
(8) the name of the person who paid the motor fuel tax and prepaid sales tax or assumed liability for the payment of such taxes and that person's sales tax registration and motor fuel tax registration numbers; and
(9)
Tax Law, § 285-a(3)