Form FT-1002:11 18:Certification of Use of Diesel Motor Fuel Purchased in Volume:ft1002 Preview on Page 1

Form FT-1002:11 18:Certification of Use of Diesel Motor Fuel Purchased in Volume:ft1002-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the seller's name and address in the designated fields. Ensure accuracy for proper documentation.
  3. Next, fill in your name and address as the purchaser. Include your employer identification number (EIN) and NYS Certificate of Authority number if applicable.
  4. Indicate whether this is a single-purchase or blanket certificate by marking the appropriate box.
  5. Enter the invoice or delivery ticket number along with the specific product being purchased, such as No. 2 fuel oil.
  6. Specify the total gallons purchased in the corresponding field.
  7. Select one of the certification options regarding resale and tax collection by marking an X in the appropriate box.
  8. Finally, sign and date the form, ensuring that all statements are true and complete before submission.

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Form FT-1002:11/18:Certification of Use of Diesel Motor Fuel

This certificate is to be used by retail filling stations to purchase diesel product for resale and by diesel motor fuel distributors to purchase highway

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