Sample Authorization Letter - Florida Department Of Revenue

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STATE OF FLORIDA
DEPARTMENT OF REVENUE
TALLAHASSEE, FLORIDA 32399-0100
General Tax Administration
Child Support Enforcement
Property Tax Administration
Jim Zingale
SAMPLE
Administrative Services
Executive Director
Information Services
THIS AUTHORIZES:
Control Number: _____________________________________
NAME OF AIR CARRIER:
____________________________________________
Effective Date: ______________________________________
ADDRESS OF AIR CARRIER:
___________________________________________
Expiration Date: _____________________________________
CITY/STATE OF AIR CARRIER: ___________________________________________
Air Carrier License Number: ___________________________
This authorization letter is issued to: ______________________________________________ for the purpose
of purchasing aviation fuel exempt from aviation fuel tax. The Department of Revenue is authorized to notify a
qualifying air carrier when the provisions of Section 206.9825(1)(b), Florida Statutes, are met by the carrier.
This letter is valid for all sales of aviation fuel between aviation fuel terminal suppliers or wholesalers and the
holder for the time period between this letter’s effective and expiration dates.
A photocopy of this letter must be given to each aviation fuel terminal supplier or wholesaler from which the
holder purchases aviation fuel. Aviation fuel terminal suppliers and wholesalers must maintain a copy of this
letter in their records as documentation for omitting aviation fuel tax from billings issued to the qualifying air
carrier.
The name of the air carrier’s aviation fuel terminal supplier or wholesaler, the date on which the letter is
executed, and the signature of an official of the air carrier are required for proper execution.
NOTE: If, after May 1, 2002, the number of full-time equivalent employee positions created or added to
the air carrier’s workforce falls below 250, the exemption granted shall not apply during the period in
which the air carrier has fewer than the 250 additional employees. Further, the air carrier must notify
the Department immediately when the criteria are no longer met. Qualification of an air carrier’s
exemption is subject to audit by the Department of Revenue for the periods specified in subsection
95.091(3), Florida Statutes.
_______________________________________
__________________________________________
DOR Official Name and Title
Name of Terminal Supplier or Wholesaler
_______________________________________
__________________________________________
Signature of Florida Department of Revenue Official
Signature of Air Carrier Official
(Owner, Partner, Officer, or Authorized Representative)
_______________________________________
__________________________________________
Date
Date
Tallahassee, Florida 32399-0100

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Parent category: Letters
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