Sales Tax Exemption Affidavit - Maine Revenue Services

STATE OF MAINE

MAINE REVENUE SERVICES

SALES TAX EXEMPTION AFFIDAVIT

DIESEL FUEL USED IN A COMMERCIAL GROUNDFISHING BOAT

By signing this document, you certify that the statements made herein, are true, correct, and

complete, to the best of your knowledge.

I certify that the DYED DIESEL FUEL purchased at

located in

, Maine will be used exclusively in the Federally permitted

commercial groundfishing boat listed below.

Printed Name:

Address:

Name of Groundfishing Vessel:

Hull No.

Commercial Fishing License No:

Expires:

Signature:

A copy of this Affidavit and a current copy of the boat operator’s commercial fishing license must be

kept on file to document sales of dyed diesel fuel exempted from the Maine sales tax.

All sales invoices must clearly indicate the vessel being fueled, either by name or hull number.

Make copies of this original and fill in the appropriate information.

This Affidavit is not valid after June 30, 2008.

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Parent category: Financial