CERTIFICATION
NATURAL OR MANUFACTURED GAS PURCHASED
FOR USE AS FUEL TO GENERATE ELECTRICITY
This is to certify that I have purchased natural or manufactured gas for use as a fuel in the generation of electricity.
I understand that if such purchases of natural or manufactured gas do not qualify for the exclusion as indicated on this certification, I must pay the applicable tax directly to the Department of Revenue.
Under penalties of perjury, I declare that I have read the foregoing certificate and the facts stated herein are true.
_________________________________ _____________________
Purchaser's Name (Print or Type) Date
_________________________________ _____________________
Signature of Authorized Person Title
________________________________________
Federal Employer Identification Number (FEI No.)
CERTIFICATION
NATURAL OR MANUFACTURED GAS PURCHASED BY A PERSON ELIGIBLE FOR EXEMPTION UNDER INDUSTRIAL CLASSIFICATIONS IN SECTION 212.08(7)(ff)2., F.S.
This is to certify that I have purchased natural or manufactured gas for use as an energy source or raw material that is excluded from tax pursuant to Section 203.01(3)(d), F.S.
I certify that the applicable purchases were made by a company whose four-digit SIC Industry Number, as listed below, is classified under SIC Industry Major Group Number 10, 12 through 14, 20 or 22 through 39 or Group Number 212 in the Standard Industrial Classification (SIC) Manual, 1987, published by the Office of Management and Budget.
I acknowledge that I will be liable for tax pursuant to Section 203.01(1)(f), F.S., if the requirements for exclusion pursuant to Section 203.01(3)(d), F.S., are not satisfied.
I understand that if such purchases of natural or manufactured gas do not qualify for the exclusion as indicated on this certification, I must pay the applicable tax directly to the Department of Revenue.
Under penalties of perjury, I declare that I have read the foregoing certificate and the facts stated herein are true.
_________________________________ _____________________
Purchaser's Name (Print or Type) Date
_________________________________ _____________________
Signature of Authorized Person Title
________________________________________
Federal Employer Identification Number (FEI No.)
Customer Billing:
Electric service amount | $100.00 |
Florida gross receipts tax | $ 2.56* |
Total amount of billing | $102.56 |
* Calculation of separately itemized "Florida gross receipts tax":
Total amount of billing | $102.56 |
x Gross Receipts Tax Rate | 2.5% |
Total tax to be separately itemized | $ 2.56 |
RESALE CERTIFICATE FOR GROSS RECEIPTS TAX ON UTILITY SERVICES
This is to certify that the electricity for light, heat, or power or the natural or manufactured gas for light, heat, or power purchased after _____ (date) from _____________________ (seller's name) is purchased for the purpose of resale.
I understand that if I fraudulently issue this certificate to evade the payment of gross receipts tax I will be liable for payment of the tax directly to the Department and subject to the penalties imposed under Section 203.03(2), F.S.
I understand that I must disclose to the seller, or remit tax on, any purchase not for resale when tax was not paid to the seller and/or distribution company.
Under penalties of perjury, I declare that I have read the foregoing certificate and the facts stated herein are true.
Purchaser's Name __________________________________________________________________________________________
Purchaser's Address_________________________________________________________________________________________
Name and Title of Purchaser's Authorized Signature
_________________________________________________________________________________________________________
Certificate of Registration Number ____________________________________________________________________________
Effective Date of Registration_________________________________________________________________________________
By ____________________________________________________________________________________ (authorized signature)
Date __________
Fla. Admin. Code Ann. R. 12B-6.0015
Rulemaking Authority 203.01(1)(f), (3)(a)2., 213.06(1) F.S. Law Implemented 203.01, 203.012, 203.02, 213.37 FS.
New 9-18-08, Amended 2-17-15.