Fillable Form Boe-608 - Certificate Of Farming Use printable pdf download

BOE-608 REV. 3 (10-10)

STATE OF CALIFORNIA

CERTIFICATE OF FARMING USE

BOARD OF EQUALIZATION

(To support vendor’s claim for a credit, payment, or refund under

section 60502 of the Revenue and Taxation Code)

New Certificate

Renewal Certificate

SELLER’S NAME

SELLER’S ADDRESS (street, city, state, zip code)

SELLER’S FEDERAL EMPLOYEE IDENTIFICATION NUMBER (FEIN)

SELLER’S BOARD OF EQUALIZATION DIESEL FUEL TAX NUMBER

D___

57–

The undersigned buyer hereby certifies the following under penalty of perjury. Buyer will use the undyed diesel fuel to which this certificate relates, either (must

check one below):

On a farm (as defined in the Diesel Fuel Tax Regulation 1431(d)) and Buyer is the owner, tenant or operator of the farm on which the fuel will be used.

Type of farming (include information relating to growing or raising)

On a farm (as defined in the Diesel Fuel Tax Regulation 1431(c)) relating to cultivating, raising or harvesting and Buyer is not the owner, tenant or

operator of the farm on which the fuel will be used.

Description of operation (harvesting, etc.)

This certificate applies to the following (check applicable box and complete as necessary):

Buyer account or order number

This is a certificate covering all purchases to be used on a farm for farming purposes.

Effective Date

Expiration Date (period not to exceed one year after the effective date)

This is a single purchase certificate:

Invoice or delivery ticket number

Number of gallons purchased

This is a certificate for _______% of all purchases to be used on a farm for farming purposes.

Effective Date

Expiration Date (period not to exceed one year after the effective date)

NOTE: Buyer must provide a new certificate to the seller if any information in this certificate changes, or one year from effective date.

If Buyer uses the diesel fuel to which this certificate relates for a purpose other than stated in the certificate, Buyer will be liable for the state excise tax. California

Diesel Fuel Tax is payable immediately upon use to the State of California, Board of Equalization, P.O. Box 942879, Sacramento, CA 94279-0033.

Buyer understands the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment,

or both, together with the cost of prosecution.

BUYER TYPE OF BUSINESS (check one)

Sole Owner

Married Co-ownership

Registered Domestic Partnership

Partnership

Corporation

Limited Liability Company (LLC)

Other (please specify):

LIST PARTNERS (if partnership)

NAME OF BUYER/OWNER (print or type)

BUYER/OWNER EMPLOYER ID NUMBER