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Freetaxusa2012

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Freetaxusa2012

Freetaxusa2012 18. Freetaxusa2012   Appendix This appendix contains models of the certificates, waivers, reports, and statements discussed in Part One. Freetaxusa2012 Model Certificate A   STATEMENT OF SUBSEQUENT SELLER     1. Freetaxusa2012                 Name, address, and employer identification number of seller in subsequent sale             2. Freetaxusa2012                 Name, address, and employer identification number of the buyer in subsequent sale             3. Freetaxusa2012         Date and location of subsequent sale             4. Freetaxusa2012         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. Freetaxusa2012       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. Freetaxusa2012                   Signature and date signed                   Printed or typed name of person signing this report                   Title—   Model Certificate B   FIRST TAXPAYER'S REPORT   1. Freetaxusa2012                     First Taxpayer's name, address and employer identification number     2. Freetaxusa2012                     Name, address, and employer identification number of the buyer of the taxable fuel subject to tax     3. Freetaxusa2012           Date and location of removal, entry, or sale       4. Freetaxusa2012           Volume and type of taxable fuel removed, entered or sold     5. Freetaxusa2012 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. Freetaxusa2012           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. Freetaxusa2012       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. Freetaxusa2012             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. Freetaxusa2012                 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. Freetaxusa2012                       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. Freetaxusa2012 )                 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. Freetaxusa2012       This certificate applies to the following (complete as applicable):       If this is a single purchase certificate, check here and enter:     1. Freetaxusa2012 Invoice or delivery ticket number       2. Freetaxusa2012 (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. Freetaxusa2012 Effective date       2. Freetaxusa2012 Expiration date       (period not to exceed 1 year after the effective date)       3. Freetaxusa2012 Type (or types) of gasoline blendstocks     4. Freetaxusa2012 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. Freetaxusa2012         Buyer will provide a new certificate to the seller if any information in this certificate changes. Freetaxusa2012       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. Freetaxusa2012 4081-4(b)(3) of the Manufacturers and Retailers Excise Tax Regulations. Freetaxusa2012       Buyer understands that if Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's     right to provide a certificate. Freetaxusa2012       Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. Freetaxusa2012     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. Freetaxusa2012       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. Freetaxusa2012             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. Freetaxusa2012 )         (Buyer) certifies the following under penalties of perjury:       Name of buyer         Buyer is a registered feedstock user with registration number . Freetaxusa2012 Buyer's registration has not been revoked     or suspended. Freetaxusa2012         The kerosene to which this certificate applies will be used by Buyer for a feedstock purpose. Freetaxusa2012                 This certificate applies to percent of Buyer's purchases from (name, address, and employer     identification number of seller) as follows (complete as applicable):       1. Freetaxusa2012 A single purchase on invoice or delivery ticket number . Freetaxusa2012                 2. Freetaxusa2012 All purchases between (effective date) and (expiration date) (period not to exceed     one year after the effective date) under account or order number(s) . Freetaxusa2012 If this certificate applies only to Buyer's     purchases for certain locations, check here and list the locations. Freetaxusa2012                                   If Buyer sells the kerosene to which this certificate relates, Buyer will be liable for tax on that sale. Freetaxusa2012                 Buyer will provide a new certificate to the seller if any information in this certificate changes. Freetaxusa2012                 If Buyer violates the terms of this certificate, the Internal Revenue Service may revoke the Buyer's registration. Freetaxusa2012                 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. Freetaxusa2012             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. Freetaxusa2012 )                                         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. Freetaxusa2012       This certificate applies to the following (complete as applicable):               If this is a single purchase certificate, check here and enter:       1. Freetaxusa2012 Invoice or delivery ticket number       2. Freetaxusa2012 (Gasoline gallon equivalents)       If this is a certificate covering all purchases under a specified account or order number, check here and enter:         1. Freetaxusa2012 Effective date         2. Freetaxusa2012 Expiration date         (period not to exceed 1 year after the effective date)         3. Freetaxusa2012 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. Freetaxusa2012       Buyer will provide a new certificate to the seller if any information in this certificate changes. Freetaxusa2012       Buyer understands that if Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's     right to provide a certificate. Freetaxusa2012       Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. Freetaxusa2012     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. Freetaxusa2012       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. Freetaxusa2012             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. Freetaxusa2012 )           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). Freetaxusa2012       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. Freetaxusa2012 Buyer's registration has not been suspended or revoked by the Internal Revenue Service. Freetaxusa2012       This certificate applies to the following (complete as applicable):     This is a single purchase certificate:       1. Freetaxusa2012 Invoice or delivery ticket number       2. Freetaxusa2012 Number of gallons     This is a certificate covering all purchases under a specified account or order number:       1. Freetaxusa2012 Effective date       2. Freetaxusa2012 Expiration date (period not to exceed 1 year after the effective date)       3. Freetaxusa2012 Buyer's account number       Buyer agrees to provide the person liable for tax with a new certificate if any information in this certificate changes. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012       Buyer understands that it must be prepared to establish by satisfactory evidence the purpose for which the     fuel purchased under this certificate was used. Freetaxusa2012     Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. Freetaxusa2012     If Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's right to provide a certificate. Freetaxusa2012       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. Freetaxusa2012           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. Freetaxusa2012 )               Name, Address, and Employer Identification Number of Ultimate Vendor     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. Freetaxusa2012 The kerosene to which this waiver relates is purchased for — (check one):       1. Freetaxusa2012 □ Use on a farm for farming purposes,       2. Freetaxusa2012 □ Use in foreign trade (reciprocal benefits required for foreign registered airlines),       3. Freetaxusa2012 □ Use in certain helicopter and fixed-wing air ambulance uses,       4. Freetaxusa2012 □ The exclusive use of a qualified blood collector organization,       5. Freetaxusa2012 □ The exclusive use of a nonprofit educational organization,       6. Freetaxusa2012 □ Use in an aircraft owned by an aircraft museum,       7. Freetaxusa2012 □ Use in military aircraft, or       8. Freetaxusa2012 □ Use in commercial aviation (other than foreign trade). Freetaxusa2012     B. Freetaxusa2012 This waiver applies to the following (complete as applicable):       This is a single purchase waiver:           1. Freetaxusa2012 Invoice or delivery ticket number           2. Freetaxusa2012 Number of gallons       This is a waiver covering all purchases under a specified account or order number:           1. Freetaxusa2012 Effective date           2. Freetaxusa2012 Expiration date (period not to exceed 1 year after the effective date)           3. Freetaxusa2012 Buyer's account number       Buyer will provide a new waiver to the vendor if any information in this waiver changes. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012           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. Freetaxusa2012 )                       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. Freetaxusa2012       This certificate applies to the following (complete as applicable):     This is a single purchase certificate:       1. Freetaxusa2012 Invoice or delivery ticket number       2. Freetaxusa2012 Number of gallons     This is a certificate covering all purchases under a specified account or order number:       1. Freetaxusa2012 Effective date       2. Freetaxusa2012 Expiration date (period not to exceed 1 year after the effective date)       3. Freetaxusa2012 Buyer's account number       Buyer will provide a new certificate to the vendor if any information in this certificate changes. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012           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. Freetaxusa2012 )                       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. Freetaxusa2012       This waiver applies to the following (complete as applicable):     This is a single purchase waiver:       1. Freetaxusa2012 Invoice or delivery ticket number       2. Freetaxusa2012 Number of gallons     This is a waiver covering all purchases under a specified account or order number:       1. Freetaxusa2012 Effective date       2. Freetaxusa2012 Expiration date (period not to exceed 1 year after the effective date)       3. Freetaxusa2012 Buyer's account number       Buyer will provide a new waiver to the vendor if any information in this waiver changes. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012       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. Freetaxusa2012           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. Freetaxusa2012 )     The undersigned biodiesel producer (“Producer”) hereby certifies the following under penalties of perjury:   1. Freetaxusa2012             Producer's name, address, and employer identification number (EIN)   2. Freetaxusa2012             Name, address, and EIN of person buying the biodiesel from Producer   3. Freetaxusa2012       Date and location of sale to buyer   4. Freetaxusa2012 This certificate applies to gallons of biodiesel. Freetaxusa2012   5. Freetaxusa2012 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. Freetaxusa2012             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. Freetaxusa2012 Original Certificate Identification Number (only in the case of certificates reissued to a reseller after return of the original certificate). Freetaxusa2012       Producer is registered as a biodiesel producer with registration number . Freetaxusa2012  Producer's registration has not been suspended or revoked by the Internal Revenue Service. Freetaxusa2012       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. Freetaxusa2012 S. Freetaxusa2012 C. Freetaxusa2012 7545). Freetaxusa2012       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. Freetaxusa2012           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. Freetaxusa2012 )               Name, Address, and Employer Identification Number of Vendor     The undersigned buyer (“Buyer”) hereby certifies the following under penalties of perjury:     A. Freetaxusa2012 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. Freetaxusa2012     B. Freetaxusa2012 This certificate applies to the following (complete as applicable):       1. Freetaxusa2012   If this is a single purchase certificate, check here □ and enter:           a. Freetaxusa2012 Invoice or delivery ticket number           b. Freetaxusa2012 Number of gallons       2. Freetaxusa2012   If this is a certificate covering all purchases under a specified account or order number, check here □  and enter:           a. Freetaxusa2012 Effective date           b. Freetaxusa2012 Expiration date   (period not to exceed 1 year after effective date)           c. Freetaxusa2012 Buyer's account or order number     ▪ Buyer will provide a new certificate to the vendor if any information in this certificate changes. Freetaxusa2012     ▪ 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. Freetaxusa2012     ▪ 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. Freetaxusa2012     ▪ 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. Freetaxusa2012           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. Freetaxusa2012 )               Name, Address, and Employer Identification Number of Ultimate Vendor     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. Freetaxusa2012 The kerosene to which this certificate relates is purchased for a nonexempt use in noncommercial aviation. Freetaxusa2012     B. Freetaxusa2012 This certificate applies to the following (complete as applicable):       1. Freetaxusa2012   If this is a single purchase certificate, check here □ and enter:           a. Freetaxusa2012 Invoice or delivery ticket number           b. Freetaxusa2012 Number of gallons       2. Freetaxusa2012   This is a certificate covering all purchases under a specified account or order number:           a. Freetaxusa2012 Effective date           b. Freetaxusa2012 Expiration date   (period not to exceed 1 year after effective date)           c. Freetaxusa2012 Buyer's account number     ▪ Buyer will provide a new certificate to the vendor if any information in this certificate changes. Freetaxusa2012     ▪ 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. Freetaxusa2012     ▪ 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. Freetaxusa2012           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. Freetaxusa2012 )               Name, Address, and Employer Identification Number of Credit Card Issuer. Freetaxusa2012     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. Freetaxusa2012 Buyer will use the taxable fuel to which this certificate relates for the exclusive use of a state; or     B. Freetaxusa2012 Buyer will use the gasoline to which this certificate relates for the exclusive use of a nonprofit educational organization. Freetaxusa2012     C. Freetaxusa2012 This certificate applies to all purchases made with the credit card identified below during the period specified:           a. Freetaxusa2012 Effective date of certificate           b. Freetaxusa2012 Expiration date of certificate   (period not to exceed 2 years after effective date)           c. Freetaxusa2012 Buyer's account number     ▪ Buyer will provide a new certificate to the credit card issuer if any information in this certificate changes. Freetaxusa2012     ▪ 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. Freetaxusa2012     ▪ 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. Freetaxusa2012     ▪ 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. Freetaxusa2012           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. Freetaxusa2012 )     The undersigned biodiesel producer (“Reseller”) hereby certifies the following under penalties of perjury:   1. Freetaxusa2012                   Reseller's name, address, and employer identification number (EIN)   2. Freetaxusa2012                   Name, address, and EIN of Reseller's buyer   3. Freetaxusa2012       Date and location of sale to buyer   4. Freetaxusa2012 Volume of biodiesel sold   5. Freetaxusa2012 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. Freetaxusa2012       Reseller has not been notified by the Internal Revenue Service that its right to provide a certificate or statement has been withdrawn. Freetaxusa2012       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. Freetaxusa2012           Printed or typed name of person signing this certificate           Title of person signing           Signature and date signed   Prev  Up  Next   Home   More Online Publications
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Contact My Local Office in Indiana

Face-to-face Tax Help

IRS Taxpayer Assistance Centers (TACs) are your source for personal tax help when you believe your tax issue can only be handled face-to-face. No appointment is necessary.

Keep in mind, many questions can be resolved online without waiting in line. Through IRS.gov you can:
• Set up a payment plan.
• Get a transcript of your tax return.
• Make a payment.
• Check on your refund.
• Find answers to many of your tax questions.

We are now referring all requests for tax return preparation services to other available resources. You can take advantage of free tax preparation through Free File, Free File Fillable Forms or through a volunteer site in your community. To find the nearest volunteer site location or to get more information about Free File, go to the top of the page and enter “Free Tax Help” in the Search box.

If you have a tax account issues and feel that it requires talking with someone face-to-face, visit your local TAC.

Caution:  Many of our offices are located in Federal Office Buildings. These buildings may not allow visitors to bring in cell phones with camera capabilities.

Multilingual assistance is available in every office. Hours of operation are subject to change.

Before visiting your local office click on "Services Provided" in the chart below to see what services are available. Services are limited and not all services are available at every TAC office and may vary from site to site. You can get these services on a walk-in basis.

City Street Address Days/Hours of Service Telephone*
Bloomington 2017 S. Liberty Dr.
Bloomington, IN 47403

Monday-Friday - 8:30 a.m.-4:30 p.m.
(Closed for lunch 11:30 a.m. - 12:30 p.m.)

 

**This office will be open 9:00 a.m. - 3:30 p.m. on 4/2**

 

Services Provided

(812) 337-7600
Columbus 2425 Northpark Dr.
Columbus, IN 47203

Monday-Friday - 8:30 a.m.-4:30 p.m.
(Closed for lunch 11:30 a.m. - 12:30 p.m.)
 

Services Provided

(812) 379-7400
Evansville 7409 Eagle Crest Blvd.
Evansville, IN 47715

Monday-Friday - 8:30 a.m.-4:30 p.m.

 

**This office will be open until 6:00 p.m. on 4/14 & 4/15**

 

Services Provided

(812) 474-4800
Ft. Wayne 201 E. Rudisill Blvd.
Fort Wayne, IN 46806

Monday-Friday - 8:30 a.m.-4:30 p.m.
(Closed for lunch 12:30 p.m. - 1:30 p.m.)

 

Services Provided

(260) 458-5000
Indianapolis 575 N. Pennsylvania St.
Indianapolis, IN 46204

Monday-Friday - 8:30 a.m.-4:30 p.m.

 

**This office will be open until 6:00 p.m. on 4/14 & 4/15**

 

Services Provided

(317) 685-7500 
Lafayette  955 Mezzanine Drive
Suite B
Lafayette, IN 47905 

Monday-Friday - 8:30 a.m.-4:30 p.m.
(Closed for lunch 11:30 a.m. - 12:30 p.m.)

 

Services Provided

(765) 449-3880 
Merrillville  233 E. 84th Dr.
Merrillville, IN 46410 

Monday-Friday - 8:30 a.m.-4:30 p.m.


Services Provided

(219) 736-4378
 
Muncie  225 N. High St.
Muncie, IN 47305 

Monday-Friday 8:30 a.m.- 4:30 p.m. 
(Closed for lunch 12:30 p.m.- 1:30 p.m.)
 

Services Provided

(765) 747-5533 
South Bend  100 E Wayne St
South Bend, IN 46601 

Monday-Friday - 8:30 a.m.-4:30 p.m.  
 

Services Provided

(574) 236-8149 
Terre Haute  801 Wabash Ave. 
Terre Haute, IN 47807 

Monday-Friday - 8:30 a.m.-4:30 p.m.
(Closed for lunch 11:30 a.m. - 12:30 p.m.)

 

Services Provided

(812) 231-6521 

* Note: The phone numbers in the chart above are not toll-free for all locations. When you call, you will reach a recorded business message with information about office hours, locations and services provided in that office. If face-to-face assistance is not a priority for you, you may also get help with IRS letters or resolve tax account issues by phone, toll free at 1-800-829-1040 (individuals) or 1-800-829-4933 (businesses).

For information on where to file your tax return please see Where to File Addresses.

The Taxpayer Advocate Service: Call (317) 685-7840 in Indianapolis or 1-877-777-4778 elsewhere, or see  Publication 1546, The Taxpayer Advocate Service of the IRS. For further information, see  Tax Topic 104.

Partnerships

IRS and organizations all over the country are partnering to assist taxpayers. Through these partnerships, organizations are also achieving their own goals. These mutually beneficial partnerships are strengthening outreach efforts and bringing education and assistance to millions.

For more information about these programs for individuals and families, contact the Stakeholder Partnerships, Education and Communication Office at:

Internal Revenue Service
575 N. Pennsylvania St.
Room 573, Stop WI-665
Indianapolis, IN 46204

For more information about these programs for businesses, your local Stakeholder Liaison office establishes relationships with organizations representing small business and self-employed taxpayers. They provide information about the policies, practices and procedures the IRS uses to ensure compliance with the tax laws. To establish a relationship with us, use this list to find a contact in your state:

Stakeholder Liaison (SL) Phone Numbers for Organizations Representing Small Businesses and Self-employed Taxpayers.

Page Last Reviewed or Updated: 28-Mar-2014

The Freetaxusa2012

Freetaxusa2012 Index A Assistance (see Tax help) F Free tax services, How To Get Tax Help H Help (see Tax help) High-low method: Introduction, High-low method. Freetaxusa2012 October 1, 2010 (Table 1) (see List of states under October 1, 2010 (High-low method) ) Transition rules, High-low method. Freetaxusa2012 I Internet: Per diem rates, Per diem rates on the Internet. Freetaxusa2012 Introduction, Introduction M More information (see Tax help) O October 1, 2010 (High-low method): Arizona (AZ), Per Diem Rate Tables California (CA), Per Diem Rate Tables Colorado (CO), Per Diem Rate Tables District of Columbia (DC), Per Diem Rate Tables Florida (FL), Per Diem Rate Tables Illinois (IL), Per Diem Rate Tables Maryland (MD), Per Diem Rate Tables Massachusetts (MA), Per Diem Rate Tables New York (NY), Per Diem Rate Tables Pennsylvania (PA), Per Diem Rate Tables Rhode Island (RI), Per Diem Rate Tables Utah (UT), Per Diem Rate Tables Virginia (VA), Per Diem Rate Tables Washington (WA), Per Diem Rate Tables Wyoming (WY), Per Diem Rate Tables P Per diem rates: High-cost localities, High-low method. Freetaxusa2012 High-low method, High-low method. Freetaxusa2012 Internet, Per diem rates on the Internet. Freetaxusa2012 Regular federal method, Regular federal per diem rate method. Freetaxusa2012 Standard rate for unlisted localities, High-low method. Freetaxusa2012 , Regular federal per diem rate method. Freetaxusa2012 Transition rules, High-low method. Freetaxusa2012 , Federal per diem rate method. Freetaxusa2012 Publications (see Tax help) R Regular federal method: Introduction, Regular federal per diem rate method. Freetaxusa2012 Transition rules, Federal per diem rate method. Freetaxusa2012 T Table 2 (High-low method, October 1, 2010), Per Diem Rate Tables Tax help, How To Get Tax Help Taxpayer Advocate, Taxpayer Advocate Service. Freetaxusa2012 Transition rules:, Transition Rules Example: High-low method, High-low method. Freetaxusa2012 Regular federal method, Federal per diem rate method. Freetaxusa2012 High-low method, High-low method. Freetaxusa2012 Regular federal method, Federal per diem rate method. Freetaxusa2012 TTY/TDD information, How To Get Tax Help Prev  Up     Home   More Online Publications