Form BOE-608 Fillable Certificate of Farming Use

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Download Form BOE-608

View all CA - California Sales, Use and Other Taxes

(% of all purchases to be used on a farm for farming purposes ) (57 ) (BOE 608 REV 3 (10 10) STATE OF CALIFORNIA BOARD OF EQUALIZATION CERTIFICATE OF FARMING USE (To support vendor s claim for a credit payment or refund under section 60502 of the Revenue and Taxation Code) New Certificate ) Unchecked (BULK DELIVERY ADDRESS (if different than physical address) ) (BUYER/OWNER EMPLOYER ID NUMBER) (BUYER/OWNER SSN (married co ownership registered domestic partnership or partnerships list SSN for each partner) ) (clear) CLEAR (CORPORATION ID (list corporation number issued by Secretary of State)) (DBA) (Description of operation (harvesting etc ) ) (Effective Date) (EMAIL ADDRESS) (Expiration Date (period not to exceed one year after the effective date) ) (FAX NUMBER (AREA CODE)) (FAX NUMBER) (LIST PARTNERS (if partnership)) (MAILING ADDRESS OF BUYER/BUSINESS (if different from physical address) ) (NAME OF BUYER/OWNER (print or type) ) (Number of gallons purchased) (Number of gallons purchased; Invoice or delivery ticket number ) (Other (please specify):; LIST PARTNERS (if partnership) ) (PHYSICAL ADDRESS OF BUYER/BUSINESS (street city state zip code) ) (PRINT NAME AND TITLE OF PERSON SIGNING ) (PRINT) PRINT (SELLER'S ADDRESS (street city state zip code) ) (SELLER'S BOARD OF EQUALIZATION DIESEL FUEL TAX NUMBER D ) (SELLER'S FEDERAL EMPLOYEE IDENTIFICATION NUMBER (FEIN)) (SELLER'S NAME ) (TELEPHONE NUMBER OF BUYER/BUSINESS (AREA CODE) ) (TELEPHONE NUMBER OF BUYER/BUSINESS) (This certificate applies to the following (check applicable box and complete as necessary): Buyer account or order number ) (To support vendor s claim for a credit payment or refund under (To the best of my knowledge all the information on this certificate is accurate until such notice of changes and is signed under penalty of perjury If signature of other than the Buyer I certify I have the authority to bind the Buyer AUTHORIZED SIGNATURE DATE ) (Type of farming (include information relating to growing or raising) ) AUTHORIZED SIGNATURE BOE 608 REV 3 (10 10) STATE OF CALIFORNIA BULK DELIVERY ADDRESS (if different than physical address) Buyer account or order number BUYER TYPE OF BUSINESS (check one) Buyer understands the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment BUYER/OWNER EMPLOYER ID NUMBER BUYER/OWNER SSN (married co ownership registered domestic partnership or partnerships list SSN for each partner) CERTIFICATE OF FARMING USE BOARD OF EQUALIZATION check one below): CORPORATION ID (list corporation number issued by Secretary of State) Description of operation (harvesting etc ) Diesel Fuel Tax is payable immediately upon use to the State of California Board of Equalization P O Box 942879 Sacramento CA 94279 0033 Effective Date EMAIL ADDRESS Expiration Date (period not to exceed one year after the effective date) FAX NUMBER If Buyer uses the diesel fuel to which this certificate relates for a purpose other than stated in the certificate Buyer will be liable for the state excise tax California If signature of other than the Buyer I certify I have the authority to bind the Buyer LIST PARTNERS (if partnership) MAILING ADDRESS OF BUYER/BUSINESS (if different from physical address) NAME OF BUYER/OWNER (print or type) New Certificate NOTE: Buyer must provide a new certificate to the seller if any information in this certificate changes or one year from effective date Number of gallons purchased On a farm (as defined in the Diesel Fuel Tax Regulation 1431(c)) relating to cultivating raising or harvesting and Buyer is not the owner tenant or On a farm (as defined in the Diesel Fuel Tax Regulation 1431(d)) and Buyer is the owner tenant or operator of the farm on which the fuel will be used operator of the farm on which the fuel will be used or both together with the cost of prosecution Other (please specify): PHYSICAL ADDRESS OF BUYER/BUSINESS (street city state zip code) PRINT NAME AND TITLE OF PERSON SIGNING Renewal Certificate section 60502 of the Revenue and Taxation Code) SELLER S ADDRESS (street city state zip code) SELLER S BOARD OF EQUALIZATION DIESEL FUEL TAX NUMBER SELLER S FEDERAL EMPLOYEE IDENTIFICATION NUMBER (FEIN) SELLER S NAME Sole Owner Married Co ownership Registered Domestic Partnership Partnership Corporation Limited Liability Company (LLC) TELEPHONE NUMBER OF BUYER/BUSINESS The undersigned buyer hereby certifies the following under penalty of perjury Buyer will use the undyed diesel fuel to which this certificate relates either (must This certificate applies to the following (check applicable box and complete as necessary): This is a certificate covering all purchases to be used on a farm for farming purposes This is a certificate for % of all purchases to be used on a farm for farming purposes This is a single purchase certificate: Invoice or delivery ticket number To the best of my knowledge all the information on this certificate is accurate until such notice of changes and is signed under penalty of perjury Type of farming (include information relating to growing or raising)

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