Application For Authorization To Sell Colored Fuel Form Page 2

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Motor Fuel Tax Act – Authorization to Sell Coloured Fuel
Pursuant to section 14.1 of the Motor Fuel Tax Act,
(
LEGAL NAME OF APPLICANT)
(the “Holder”) is authorized to sell coloured fuel subject to the following terms and conditions.
1. The Holder must comply with all provisions of the Motor Fuel Tax Act and regulations made under it.
2. This authorization only applies in respect of those physical locations referred to in the Holder’s
application for this authorization.
3. The Holder must not sell coloured fuel if the circumstances are such that a reasonable person would
believe that the fuel will be used for a purpose that is not authorized by the Motor Fuel Tax Act.
4. The Holder must not sell coloured fuel to another business for resale purposes unless that business is
also authorized.
5. Where coloured fuel is sold from manned locations such as self-serve and full-service pumps, the
Holder must ensure no person places coloured fuel in a supply tank of a snowmobile, all-terrain
vehicle (ATV), car or truck, van or camper. The only exception to this will be trucks with a family farm
truck emblem issued for that specific vehicle.
6. Where coloured fuel is sold from unmanned pumps such as card and key locks, a copy of the
“Coloured Fuel Account Certification” form (FIN 438)
must be completed by each purchaser and
retained by the Holder to substantiate the sale and eligible use of coloured fuel.
7. The Holder will allow, at any reasonable time, employees of the Ministry to inspect, audit and examine
its books of account or other records, equipment, or fuel to ascertain compliance with the Motor Fuel
Tax Act or regulations, or the terms and conditions of this authorization.
8. The Ministry will issue labels to the Holder. The Holder must affix these labels to all pumps that
dispense coloured fuel. The labels must be affixed in the place and manner specified by the Ministry.
I have read and understand the above stated terms and conditions. I acknowledge that the Holder’s
authorization may be suspended or cancelled for failure to comply with the Motor Fuel Tax Act or
regulations, or the terms and conditions of this authorization.
If the Holder is a corporation or partnership, I declare that I am authorized to sign this document on behalf
of the Holder.
I understand and agree that the information contained in the application package, the current status of a
business’s authorization, plus any subsequent reports may be shared with other British Columbia
government agencies, with other governments and their agencies, and with suppliers of coloured fuel
insofar as that disclosure relates to the administration and enforcement of taxation enactments. I further
agree that information relating to this authorization may be included in a public internet web site listing all
business names and locations authorized to sell coloured fuel and those authorizations that are
suspended or cancelled.
The Holder, or Authorized Signatory for the Holder, and Title
Date
The Holder is authorized to sell coloured fuel, subject to the terms and conditions set out in this document.
Anne Sandbu
Date
Deputy Director
(Please sign and return both copies to the Fuel Tax Section.)

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