Addendum For Metered Energy Sold To A Qualified Agriculture Producer

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GATE Addendum
(Rev. 1/2013)
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State of Georgia
Department of Revenue
ADDENDUM FOR METERED ENERGY SOLD TO
A QUALIFIED AGRICULTURE PRODUCER
Attach to copy of GATE Certificate issued by the Georgia Department of Agriculture
Energy Supplier
Tax Exempt Meter
Eligible Service Address
Account Number
Number*
*List only those meters supplying energy used 90% or more in a qualifying agricultural operation. Do not list
meters supplying energy to a residence even if that meter also supplies energy to an agricultural operation.

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