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Federal Tax Table

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Federal Tax Table

Federal tax table It is tax season again! Figuring out and filing your tax forms can be intimidating – but there is help. Federal tax table Here you will find answers, forms and more that will make your paperwork easier, faster and less stressful. Federal tax table The information below will help you determine your residency status, find the correct forms you need and give you other information you want to get started. Federal tax table
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Page Last Reviewed or Updated: 14-Feb-2014

The Federal Tax Table

Federal tax table 18. Federal tax table   Appendix This appendix contains models of the certificates, waivers, reports, and statements discussed in Part One. Federal tax table Model Certificate A   STATEMENT OF SUBSEQUENT SELLER     1. Federal tax table                 Name, address, and employer identification number of seller in subsequent sale             2. Federal tax table                 Name, address, and employer identification number of the buyer in subsequent sale             3. Federal tax table         Date and location of subsequent sale             4. Federal tax table         Volume and type of taxable fuel sold               The undersigned seller (“Seller”) has received the copy of the first taxpayer's report provided with this statement in     connection with Seller's purchase of the taxable fuel described in this statement. Federal tax table       Under penalties of perjury, Seller declares that Seller has examined this statement, including any accompanying     schedules and statements, and, to the best of Seller's knowledge and belief, they are true, correct and complete. Federal tax table                   Signature and date signed                   Printed or typed name of person signing this report                   Title—   Model Certificate B   FIRST TAXPAYER'S REPORT   1. Federal tax table                     First Taxpayer's name, address and employer identification number     2. Federal tax table                     Name, address, and employer identification number of the buyer of the taxable fuel subject to tax     3. Federal tax table           Date and location of removal, entry, or sale       4. Federal tax table           Volume and type of taxable fuel removed, entered or sold     5. Federal tax table Check type of taxable event:         Removal from refinery         Entry into United States         Bulk transfer from terminal by unregistered position holder       Bulk transfer not received at an approved terminal       Sale within the bulk transfer/terminal system       Removal at the terminal rack         Removal or sale by the blender                   6. Federal tax table           Amount of federal excise tax paid on account of the removal, entry, or sale                   The undersigned taxpayer (“Taxpayer”) has not received, and will not claim, a credit with respect to, or a refund of, the tax     on the taxable fuel to which this form relates. Federal tax table       Under penalties of perjury, Taxpayer declares that Taxpayer has examined this statement, including any accompanying     schedules and statements, and to the best of Taxpayer's knowledge and belief, they are true, correct and complete. Federal tax table             Signature and date signed               Printed or typed name of person signing this report               Title     Model Certificate C   NOTIFICATION CERTIFICATE OF TAXABLE FUEL REGISTRANT                           Name, address, and employer identification number of person receiving certificate       The undersigned taxable registrant (“Registrant”) hereby certifies under penalties of perjury that Registrant is registered     by the Internal Revenue Service with registration number and that Registrant's registration has not     been revoked or suspended by the Internal Revenue Service. Federal tax table                 Registrant understands that the fraudulent use of this certificate may subject Registrant and all parties making such     fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table                       Signature and date signed                         Printed or typed name of person signing                         Title of person signing                         Name of Registrant                         Employer identification number                         Address of Registrant     Model Certificate D   CERTIFICATE OF PERSON BUYING GASOLINE BLENDSTOCKS FOR USE OTHER THAN IN THE PRODUCTION OF FINISHED GASOLINE     (To support tax-free sales (other than LUST) under section 4081 of the Internal Revenue Code. Federal tax table )                 Name, address, and employer identification number of seller       The undersigned buyer (“Buyer”) hereby certifies the following under penalties of perjury:       The gasoline blendstocks to which this certificate relates will not be used to produce finished gasoline. Federal tax table       This certificate applies to the following (complete as applicable):       If this is a single purchase certificate, check here and enter:     1. Federal tax table Invoice or delivery ticket number       2. Federal tax table (number of gallons) of(type of gasoline blendstocks)       If this is a certificate covering all purchases under a specified account or order number, check here and enter:     1. Federal tax table Effective date       2. Federal tax table Expiration date       (period not to exceed 1 year after the effective date)       3. Federal tax table Type (or types) of gasoline blendstocks     4. Federal tax table Buyer's account or order number         Buyer will not claim a credit or refund under section 6427(h) of the Internal Revenue Code for any gasoline blendstocks     covered by this certificate. Federal tax table         Buyer will provide a new certificate to the seller if any information in this certificate changes. Federal tax table       If Buyer resells the gasoline blendstocks to which this certificate relates, Buyer will be liable for tax unless Buyer obtains a     certificate from the purchaser stating that the gasoline blendstocks will not be used to produce finished gasoline and otherwise complies with the conditions of §48. Federal tax table 4081-4(b)(3) of the Manufacturers and Retailers Excise Tax Regulations. Federal tax table       Buyer understands that if Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's     right to provide a certificate. Federal tax table       Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. Federal tax table     In addition, the Internal Revenue Service has not notified Buyer that the right to provide a certificate has been withdrawn from a purchaser to which Buyer sells gasoline blendstocks tax free. Federal tax table       Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use     of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table             Signature and date signed               Printed or typed name of person signing               Title of person signing               Name of Buyer               Employer identification number               Address of Buyer     Model Certificate G   CERTIFICATE OF REGISTERED FEEDSTOCK USER     (To support tax-free removals and entries (other than LUST) of kerosene under section 4082 of the Internal Revenue Code. Federal tax table )         (Buyer) certifies the following under penalties of perjury:       Name of buyer         Buyer is a registered feedstock user with registration number . Federal tax table Buyer's registration has not been revoked     or suspended. Federal tax table         The kerosene to which this certificate applies will be used by Buyer for a feedstock purpose. Federal tax table                 This certificate applies to percent of Buyer's purchases from (name, address, and employer     identification number of seller) as follows (complete as applicable):       1. Federal tax table A single purchase on invoice or delivery ticket number . Federal tax table                 2. Federal tax table All purchases between (effective date) and (expiration date) (period not to exceed     one year after the effective date) under account or order number(s) . Federal tax table If this certificate applies only to Buyer's     purchases for certain locations, check here and list the locations. Federal tax table                                   If Buyer sells the kerosene to which this certificate relates, Buyer will be liable for tax on that sale. Federal tax table                 Buyer will provide a new certificate to the seller if any information in this certificate changes. Federal tax table                 If Buyer violates the terms of this certificate, the Internal Revenue Service may revoke the Buyer's registration. Federal tax table                 Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use of     this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table             Printed or typed name of person signing               Title of person signing               Employer identification number               Address of Buyer               Signature and date signed     Model Certificate J   CERTIFICATE OF PERSON BUYING COMPRESSED NATURAL GAS (CNG) FOR A NONTAXABLE USE     (To support tax-free sales of CNG under section 4041 of the Internal Revenue Code. Federal tax table )                                         Name, address, and employer identification number of seller                   (“Buyer”) certifies the following under penalties of perjury:     Name of buyer                     The CNG to which this certificate relates will be used in a nontaxable use. Federal tax table       This certificate applies to the following (complete as applicable):               If this is a single purchase certificate, check here and enter:       1. Federal tax table Invoice or delivery ticket number       2. Federal tax table (Gasoline gallon equivalents)       If this is a certificate covering all purchases under a specified account or order number, check here and enter:         1. Federal tax table Effective date         2. Federal tax table Expiration date         (period not to exceed 1 year after the effective date)         3. Federal tax table Buyer's account or order number       Buyer will not claim a credit or refund under section 6427 of the Internal Revenue Code for any CNG to which this certificate relates. Federal tax table       Buyer will provide a new certificate to the seller if any information in this certificate changes. Federal tax table       Buyer understands that if Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's     right to provide a certificate. Federal tax table       Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. Federal tax table     In addition, the Internal Revenue Service has not notified Buyer that the right to provide a certificate has been withdrawn     from a purchaser to which Buyer sells CNG tax free. Federal tax table       Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use     of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table             Printed or typed name of person signing               Title of person signing             Employer identification number               Address of Buyer               Signature and date signed     Model Certificate K   CERTIFICATE OF PERSON BUYING KEROSENE FOR USE IN AVIATION FOR     COMMERCIAL AVIATION OR NONTAXABLE USE     (To support operator liability for tax on removals of kerosene for use in aviation directly into the fuel tank of an aircraft in commercial aviation pursuant to § 4081 of the Internal Revenue Code or to support a tax rate of zero under § 4041(c) pursuant to §§4041(c) and 4082. Federal tax table )           Name, address, and employer identification number of position holder       The undersigned aircraft operator (“Buyer”) hereby certifies the following under the penalties of perjury:       The kerosene for use in aviation to which this certificate relates is purchased (check one): for     use on a farm for farming purposes; for use in foreign trade (reciprocal benefits required for foreign registered airlines); for use in certain helicopter and fixed-wing air ambulance uses; for use other than as a fuel in the propulsion engine of an aircraft; for the exclusive use of a qualified blood collector organization; for the exclusive use of a nonprofit educational organization; for the exclusive use of a state; for use in an aircraft owned by an aircraft museum; for use in military aircraft; or for use in commercial aviation (other than foreign trade). Federal tax table       With respect to kerosene for use in aviation purchased after June 30, 2005, for use in commercial aviation     (other than foreign trade), Buyer's registration number is. Federal tax table Buyer's registration has not been suspended or revoked by the Internal Revenue Service. Federal tax table       This certificate applies to the following (complete as applicable):     This is a single purchase certificate:       1. Federal tax table Invoice or delivery ticket number       2. Federal tax table Number of gallons     This is a certificate covering all purchases under a specified account or order number:       1. Federal tax table Effective date       2. Federal tax table Expiration date (period not to exceed 1 year after the effective date)       3. Federal tax table Buyer's account number       Buyer agrees to provide the person liable for tax with a new certificate if any information in this certificate changes. Federal tax table       If the kerosene for use in aviation to which this certificate relates is being bought for use in commercial aviation     (other than foreign trade), Buyer is liable for tax on its use of the fuel and will pay that tax to the government. Federal tax table       If Buyer sells or uses the kerosene for use in aviation to which this certificate relates for a use other than the use     stated above, Buyer will be liable for tax. Federal tax table       Buyer understands that it must be prepared to establish by satisfactory evidence the purpose for which the     fuel purchased under this certificate was used. Federal tax table     Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. Federal tax table     If Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's right to provide a certificate. Federal tax table       The fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use of this certificate     to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Waiver L WAIVER FOR USE BY ULTIMATE PURCHASERS OF KEROSENE FOR CERTAIN USES IN AVIATION (To support vendor's claim for a credit or payment under § 6427(l)(4)(C)(i) of the Internal Revenue Code. Federal tax table )               Name, Address, and Employer Identification Number of Ultimate Vendor     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. Federal tax table The kerosene to which this waiver relates is purchased for — (check one):       1. Federal tax table □ Use on a farm for farming purposes,       2. Federal tax table □ Use in foreign trade (reciprocal benefits required for foreign registered airlines),       3. Federal tax table □ Use in certain helicopter and fixed-wing air ambulance uses,       4. Federal tax table □ The exclusive use of a qualified blood collector organization,       5. Federal tax table □ The exclusive use of a nonprofit educational organization,       6. Federal tax table □ Use in an aircraft owned by an aircraft museum,       7. Federal tax table □ Use in military aircraft, or       8. Federal tax table □ Use in commercial aviation (other than foreign trade). Federal tax table     B. Federal tax table This waiver applies to the following (complete as applicable):       This is a single purchase waiver:           1. Federal tax table Invoice or delivery ticket number           2. Federal tax table Number of gallons       This is a waiver covering all purchases under a specified account or order number:           1. Federal tax table Effective date           2. Federal tax table Expiration date (period not to exceed 1 year after the effective date)           3. Federal tax table Buyer's account number       Buyer will provide a new waiver to the vendor if any information in this waiver changes. Federal tax table       If Buyer uses the kerosene for use in aviation to which this waiver relates for a use other than the use stated above, Buyer will be liable for tax. Federal tax table       Buyer understands that by signing this waiver, Buyer gives up its right to claim any credit or payment for the kerosene for use in aviation used in a nontaxable use. Federal tax table       Buyer acknowledges that it has not and will not claim any credit or payment for the kerosene for use in aviation to which this waiver relates. Federal tax table       Buyer understands that the fraudulent use of this waiver may subject Buyer and all parties making such fraudulent use of this waiver to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate M   CERTIFICATE FOR STATE USE OR NONPROFIT EDUCATIONAL     ORGANIZATION USE     (To support vendor's claim for a credit or payment under § 6416(a)(4) of the Internal Revenue Code. Federal tax table )                       Name, address, and employer identification number of ultimate vendor       The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under the penalties of perjury:       Buyer will use the gasoline or aviation gasoline to which this certificate relates (check one):     For the exclusive use of a state or local government; or     For the exclusive use of a nonprofit educational organization. Federal tax table       This certificate applies to the following (complete as applicable):     This is a single purchase certificate:       1. Federal tax table Invoice or delivery ticket number       2. Federal tax table Number of gallons     This is a certificate covering all purchases under a specified account or order number:       1. Federal tax table Effective date       2. Federal tax table Expiration date (period not to exceed 1 year after the effective date)       3. Federal tax table Buyer's account number       Buyer will provide a new certificate to the vendor if any information in this certificate changes. Federal tax table       Buyer understands that by signing this certificate, Buyer gives up its right to claim any credit or payment for the gasoline or aviation gasoline to which this certificate relates. Federal tax table       Buyer acknowledges that it has not and will not claim any credit or payment for the gasoline or aviation gasoline to which this certificate relates. Federal tax table       Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Waiver N   WAIVER FOR USE BY ULTIMATE PURCHASERS OF DIESEL FUEL OR     KEROSENE USED IN INTERCITY BUS TRANSPORTATION     (To support vendor's claim for a credit or payment under § 6427 of the Internal Revenue Code. Federal tax table )                       Name, address, and employer identification number of ultimate vendor       The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under the penalties of perjury:       The diesel fuel or kerosene to which this waiver relates is purchased for use in intercity bus transportation. Federal tax table       This waiver applies to the following (complete as applicable):     This is a single purchase waiver:       1. Federal tax table Invoice or delivery ticket number       2. Federal tax table Number of gallons     This is a waiver covering all purchases under a specified account or order number:       1. Federal tax table Effective date       2. Federal tax table Expiration date (period not to exceed 1 year after the effective date)       3. Federal tax table Buyer's account number       Buyer will provide a new waiver to the vendor if any information in this waiver changes. Federal tax table       If Buyer uses the diesel fuel or kerosene to which this waiver relates for a use other than in intercity bus transportation, Buyer will be liable for tax. Federal tax table       Buyer understands that by signing this waiver, Buyer gives up its right to claim any credit or payment for the diesel fuel or kerosene used in intercity bus transportation. Federal tax table       Buyer acknowledges that it has not and will not claim any credit or payment for the diesel fuel or kerosene to which this waiver relates. Federal tax table       Buyer understands that the fraudulent use of this waiver may subject Buyer and all parties making such fraudulent use of this waiver to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate O   CERTIFICATE FOR BIODIESEL     Certificate Identification Number:     (To support a claim related to biodiesel or a biodiesel mixture under section 6426 of the Internal Revenue Code. Federal tax table )     The undersigned biodiesel producer (“Producer”) hereby certifies the following under penalties of perjury:   1. Federal tax table             Producer's name, address, and employer identification number (EIN)   2. Federal tax table             Name, address, and EIN of person buying the biodiesel from Producer   3. Federal tax table       Date and location of sale to buyer   4. Federal tax table This certificate applies to gallons of biodiesel. Federal tax table   5. Federal tax table Producer certifies that the biodiesel to which this certificate relates is:       % Agri-biodiesel (derived solely from virgin oils)       % Biodiesel other than agri-biodiesel       This certificate applies to the following sale:       Invoice or delivery ticket number       Total number of gallons of biodiesel sold under that invoice or delivery ticket number (including biodiesel not covered by this certificate)       Total number of certificates issued for that invoice or delivery ticket number   6. Federal tax table             Name, address, and employer identification number of reseller to whom certificate is issued (only in the case of certificates reissued to a reseller after the return of the original certificate)   7. Federal tax table Original Certificate Identification Number (only in the case of certificates reissued to a reseller after return of the original certificate). Federal tax table       Producer is registered as a biodiesel producer with registration number . Federal tax table  Producer's registration has not been suspended or revoked by the Internal Revenue Service. Federal tax table       Producer certifies that the biodiesel to which this certificate relates in monoalkyl esters of long chain fatty acids derived from plant or animal matter that meets the requirements of the American Society of Testing and Materials D6751 and the registration requirements for fuels and fuel additives established by EPA under section 211 of the Clean Air Act (42 U. Federal tax table S. Federal tax table C. Federal tax table 7545). Federal tax table       Producer understands that the fraudulent use of this certificate may subject Producer and all parties making any fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing this certificate           Title of person signing           Signature and date signed   Model Certificate P CERTIFICATE OF STATE USE (To support vendor's claim for credit or payment under section 6427 of the Internal Revenue Code. Federal tax table )               Name, Address, and Employer Identification Number of Vendor     The undersigned buyer (“Buyer”) hereby certifies the following under penalties of perjury:     A. Federal tax table Buyer will use the diesel fuel or kerosene to which this certificate relates for the exclusive use of a state or local government, or the District of Columbia. Federal tax table     B. Federal tax table This certificate applies to the following (complete as applicable):       1. Federal tax table   If this is a single purchase certificate, check here □ and enter:           a. Federal tax table Invoice or delivery ticket number           b. Federal tax table Number of gallons       2. Federal tax table   If this is a certificate covering all purchases under a specified account or order number, check here □  and enter:           a. Federal tax table Effective date           b. Federal tax table Expiration date   (period not to exceed 1 year after effective date)           c. Federal tax table Buyer's account or order number     ▪ Buyer will provide a new certificate to the vendor if any information in this certificate changes. Federal tax table     ▪ If Buyer uses the diesel fuel or kerosene to which this certificate relates for a purpose other than stated in the certificate, Buyer will be liable for any tax. Federal tax table     ▪ Buyer acknowledges that it has not and will not claim any credit or payment for the diesel fuel or kerosene to which this certificate relates. Federal tax table     ▪ Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate Q CERTIFICATE OF ULTIMATE PURCHASER OF KEROSENE FOR USE IN NONEXEMPT, NONCOMMERCIAL AVIATION (To support vendor's claim for credit or payment under section 6427(l)(4)(C)(ii) of the Internal Revenue Code. Federal tax table )               Name, Address, and Employer Identification Number of Ultimate Vendor     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. Federal tax table The kerosene to which this certificate relates is purchased for a nonexempt use in noncommercial aviation. Federal tax table     B. Federal tax table This certificate applies to the following (complete as applicable):       1. Federal tax table   If this is a single purchase certificate, check here □ and enter:           a. Federal tax table Invoice or delivery ticket number           b. Federal tax table Number of gallons       2. Federal tax table   This is a certificate covering all purchases under a specified account or order number:           a. Federal tax table Effective date           b. Federal tax table Expiration date   (period not to exceed 1 year after effective date)           c. Federal tax table Buyer's account number     ▪ Buyer will provide a new certificate to the vendor if any information in this certificate changes. Federal tax table     ▪ If Buyer uses the kerosene to which this certificate relates for a use other than the nontaxable use stated above, Buyer will be liable for tax. Federal tax table     ▪ Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate R CERTIFICATE OF BUYER OF TAXABLE FUEL FOR USE BY A STATE OR NONPROFIT EDUCATIONAL ORGANIZATION (To support credit card issuer's claim for credit, refund, or payment under section 6416(a)(4)(B) or section 6427(l)(5)(D) of the Internal Revenue Code. Federal tax table )               Name, Address, and Employer Identification Number of Credit Card Issuer. Federal tax table     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. Federal tax table Buyer will use the taxable fuel to which this certificate relates for the exclusive use of a state; or     B. Federal tax table Buyer will use the gasoline to which this certificate relates for the exclusive use of a nonprofit educational organization. Federal tax table     C. Federal tax table This certificate applies to all purchases made with the credit card identified below during the period specified:           a. Federal tax table Effective date of certificate           b. Federal tax table Expiration date of certificate   (period not to exceed 2 years after effective date)           c. Federal tax table Buyer's account number     ▪ Buyer will provide a new certificate to the credit card issuer if any information in this certificate changes. Federal tax table     ▪ Buyer understands that by signing this certificate, Buyer gives up its right to claim a credit or payment for the taxable fuel purchased with the credit card to which this certificate relates. Federal tax table     ▪ Buyer acknowledges that it has not and will not claim any credit or payment for the taxable fuel purchased with the credit card to which this certificate relates. Federal tax table     ▪ Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Statement S   STATEMENT OF BIODIESEL RESELLER     (To support a claim related to biodiesel or a biodiesel mixture under section 6426 of the Internal Revenue Code. Federal tax table )     The undersigned biodiesel producer (“Reseller”) hereby certifies the following under penalties of perjury:   1. Federal tax table                   Reseller's name, address, and employer identification number (EIN)   2. Federal tax table                   Name, address, and EIN of Reseller's buyer   3. Federal tax table       Date and location of sale to buyer   4. Federal tax table Volume of biodiesel sold   5. Federal tax table Certificate Identification Number on the Certificate for Biodiesel       Reseller has bought the biodiesel described in the accompanying Certificate for Biodiesel and Reseller has no reason to believe that any information in the certificate is false. Federal tax table       Reseller has not been notified by the Internal Revenue Service that its right to provide a certificate or statement has been withdrawn. Federal tax table       Reseller understands that the fraudulent use of this statement may subject Reseller and all parties making any fraudulent use of this statement to a fine or imprisonment, or both, together with the costs of prosecution. Federal tax table           Printed or typed name of person signing this certificate           Title of person signing           Signature and date signed   Prev  Up  Next   Home   More Online Publications