Form Ft-940 - Certification Of Use Of Motor Fuel Purchased In Volume

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New York State Department of Taxation and Finance
FT-940
Certification of Use of Motor Fuel
(6/03)
Purchased in Volume
To be completed by the purchaser and given to the seller who must keep it for at least three years after the date of the last sale substantiated
by this certificate.
Name of seller
Name of purchaser
Street address
Street address
City
State
ZIP code
City
State
ZIP code
Purchaser’s certificate of authority number
(if any)
Check applicable box:
Single purchase certificate
Blanket certificate
I certify that the motor fuel I am purchasing:
1
will be resold by me and therefore only the prepaid sales tax should be included in my purchase price.
or
2
will be used by me and not resold. Therefore, the sales tax due on this purchase must be computed on the actual selling price at the
combined state and local sales tax rate in effect where the fuel is delivered.
Signature of purchaser or authorized representative
Title
Date
To the purchaser:
Failure to furnish this certificate to a seller of motor fuel will require them to charge you the greater of either the prepaid sales tax or the tax
computed on the selling price.
Furnishing false information in completing this certificate with intention to evade tax is a misdemeanor.
Instructions
This certificate must be completed by anyone purchasing motor
If Box 2 is checked, the seller will compute and collect the sales
fuel in volume. Purchasing in volume does not include purchases
tax due on the actual purchase price at the combined state and
at retail where the motor fuel will be dispensed directly into the
local sales tax rate in effect where the fuel is delivered to the
purchaser’s motor vehicle or into a small fuel container.
purchaser.
Recordkeeping
This certificate must be given to the seller to certify that the fuel
This certificate must be properly completed by the purchaser and
will be either resold or consumed by the purchaser.
given to the seller at the time of the first purchase from that seller.
Unless it is marked as a single purchase certificate, it shall be
If Box 1 is checked, the seller will pass through the amount of
considered to be part of any order given to the seller and shall
sales tax they have prepaid on the fuel and they must give the
remain in effect until revoked by the purchaser. The seller must
purchaser a properly completed Form FT-935, Certification of
retain this certificate for at least three years after the last sale to
Prepayment of Sales Tax and Payment of the Motor Fuel Tax and
which it is applicable.
the Petroleum Business Tax.

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