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Form Tc-721av - Aviation Fuel Tax Reduction Certificate - Federally Certificated Air Carrier For All-Cargo Or Scheduled Operations

Aviation Fuel Tax Reduction Certificate

Federally Certificated Air Carrier for All-Cargo or Scheduled Operations

Company name

DBA name

Certificate number

Address

I certify that I am a “federally certificated air carrier” who holds a certificate issued by the Federal Aviation Administration,

authorizing me to conduct a all-cargo or scheduled operations as defined in C.F.R. Section 119.3.

Signature

Date signed

Title

To be valid, this certificate must be completed in full, signed, and dated.

Clear form

Print Form

Do not send this certificate to the Utah Tax Commission.

The vendor should keep this certificate on file and available for audit review.

The purchaser should keep a copy of this certificate on file. The purchaser is responsible to notify the vendor of

cancellation, modification, or limitation of the tax reduction being claimed.

Contact Taxpayer Services if you have questions.

Taxpayers Service, Utah State Tax Commission, 210 North 1950 West, Salt Lake City, Utah 84134

Telephone number (801) 297-2200 or toll free 1-800-662-4335.

TC-721AV Rev. 6/99

DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION.

Form Tc-721av - Aviation Fuel Tax Reduction Certificate - Federally Certificated Air Carrier For All-Cargo Or Scheduled Operations