& Taxation Code Section 6353(b)
(Please note: This certificate is a draft and may appear different when incorporated into our regulations )
* In California you are required to hold a seller s permit if you are engaged in the business of selling tangible personal property that
30 gallons
ADDRESS (city state zip code)
BOE 230 C (9 01) STATE OF CALIFORNIA
CERTIFICATION
COMPANY NAME PERMIT NUMBER (if applicable)*
described in Codes 0111 to 0291 of the Standard Industrial Classification Manual or that I assist such classified persons I
EXEMPTION CERTIFICATE FOR QUALIFIED SALES AND PURCHASES BOARD OF EQUALIZATION
further certify that the LPG purchased will be used in producing and harvesting agricultural products in accordance with Revenue
I further certify that the LPG is being delivered into a tank with a storage capacity that is equal to or greater than
I hereby certify that I am purchasing from:
I understand that if such property is not used in a qualified manner or if I am not a qualified person that I am required bythe
is subject to tax when sold at retail If you are not required to hold a seller s permit because you make no sales or leases of this type
Liquefied petroleum gas (LPG) without sales or use tax (effective September 1 2001) under Section 6353(b) of the California
LPG for Household Use I hereby certify that the LPG purchased and delivered by the seller is being delivered to my primary
LPG used in Producing and Harvesting Agricultural Products I hereby certify that I am engaged in business in an industry
OF LIQUEFIED PETROLEUM GAS
of property in California please enter not applicable and the reason why you are not required to hold a permit
Please check applicable exemption box below:
PRINT NAME TITLE
residence not serviced by gas mains and pipes for use therein in accordance with Revenue & Taxation Code Section 6353(b)
Revenue and Taxation Code and which qualifies for the sales and use tax exemption checked below
Sales and Use Tax Law to report and pay the sales and use tax measured by the sales price of the property to me I also understand
SELLER S ADDRESS (street city state zip code)
SELLER S NAME
SIGNATURE DATE
TELEPHONE NUMBER
that this exemption certificate is in effect as of the date shown below and will remain in effect until revoked in writing
