Cal. Code Regs. Tit. 18, div. 2, ch. 4, art. 3, app A
PARTIAL EXEMPTION CERTIFICATE
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
Qualified Sales and Purchases of Diesel and Farm Equipment and Machinery
NOTE: This is an exemption only from the state portion of the sales and use tax rate. You are not relieved from your obligations for the local and district taxes on this transaction. This partial exemption also does not apply to any tax levied pursuant to section 6051.2 and 6201.2 of the Revenue and Taxation Code, or pursuant to section 35 of article XIII of the California Constitution. This partial exemption also applies to lease payments made on or after September 1, 2001, for tangible personal property even if the lease agreement was entered into prior to September 1, 2001.
___________________________
SELLER'S/LESSOR'S NAME
___________________________
SELLER'S/LESSOR'S ADDRESS (Street, City, State, Zip Code)
___________________________
___________________________
Diesel Fuel Used in Farming Activities or Food Processing* -- I as the undersigned purchaser, hereby certify that of the diesel purchased, __________% will be used in qualified farming activities or food processing in accordance with Revenue and Taxation Code section 6357.1.
Farm Equipment and Machinery (or parts1 thereof)* -- I as the undersigned purchaser, hereby certify I am engaged in an agricultural business described in Codes 0111 to 0291 of the Standard Industrial Classification (SIC) Manual, or I perform an agricultural service described in Codes 0711 to 0783 of the SIC Manual for such classified persons. The property purchased or leased will be used primarily in producing and harvesting agricultural products in accordance with Revenue & Taxation Code section 6356.5.2
___________________________
Type of Farm Equipment and Machinery (or parts thereof)
___________________________
* If you also want this certificate to be used as a blanket certificate for future purchases, describe generally the type of property you will be purchasing and ask your vendor to keep this certificate on file. If this is a specific partial exemption certificate, provide the purchase order or sales invoice number and a precise description of the property being purchased.
I understand that if such property is not used in the manner qualifying for the partial exemption, or if I am not a qualified person, as applicable, that I am required by the Sales and Use Tax Law to report and pay the state tax measured by the sales price/rentals payable of the property to/by me. I also understand that this partial exemption certificate is in effect as of the date shown below and will remain in effect until revoked in writing.
| PURCHASER'S NAME OR COMPANY NAME (if applicable) | DATE | ||
| SIGNATURE (signature of the purchaser, purchaser's employee, or authorized representative of the purchaser) | TELEPHONE NUMBER | ||
| TITLE | PERMIT NUMBER (If applicable)3 | ||
| ADDRESS | CITY | STATE, ZIP | |
1. If you are purchasing oil, grease, or lubricating or other qualifying fluids, indicate what percentage will be used in farm equipment and machinery performing qualified producing and harvesting activities.
2. Vehicles that qualify as farm equipment and machinery, as defined in Regulation 1533.1(b)(1)(B), must be used exclusively in producing and harvesting agricultural products.
3. If you are not required to hold a seller's permit, please enter "Not Applicable."
Cal. Code Regs. Tit. 18, div. 2, ch. 4, art. 3, app A