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1040ez File On Line

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1040ez File On Line

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Understanding your CP11 Notice

We made changes to your return because we believe there’s a miscalculation. You owe money on your taxes as a result of these changes.

Looking for information for CP11A Notice or CP11M Notice?

Printable samples of this notice (PDF)

Tax publications you may find useful

How to get help

Calling the toll free number listed on the top right corner of your notice is the fastest way to get your questions answered.

You can also authorize someone (such as an accountant) to contact the IRS on your behalf using this Power of Attorney and Declaration of Representative (Form 2848).

Or you may qualify for help from a Low Income Taxpayer Clinic.
 


What you need to do

  • Read your notice carefully ― it will explain why you owe money on your taxes.
  • Pay the amount owed by the date on the notice's payment coupon.
  • Make payment arrangements if you can't pay the full amount you owe.
  • Contact us within 60 days of the date of your notice if you disagree with the change we made.
  • Correct the copy of your tax return that you kept for your records.

You may want to...


Answers to Common Questions

How can I find out what caused my tax return to change?
Please contact us at the number listed on your notice for specific information concerning your tax return.

What should I do if I disagree with the changes you made?
If you disagree, contact us at the toll free number listed on the top right corner of your notice.

If you contact us in writing within 60 days of the date of this notice, we'll reverse the change we made to your account. However, if you're unable to provide us additional information that justifies the reversal and we believe the reversal is in error, we'll forward your case for audit. This step gives you formal appeal rights, including the right to appeal our decision in court before you have to pay the additional tax. After we forward your case, the audit staff will contact you within five to six weeks to fully explain the audit process and your rights. If you don’t contact us within the 60-day period, you'll lose your right to appeal our decision before payment of tax.

If you don't contact us within 60 days, the change won’t be reversed and you must pay the additional tax. You may then file a claim for refund. You must submit the claim within three years of the date you filed the tax return, or within two years of the date of your last payment for this tax.

What happens if I can’t pay the full amount I owe?
You can arrange to make a payment plan with us if you can’t pay the full amount you owe.

Am I charged interest on the money I owe?
Not if you pay the full amount you owe by the date on the payment coupon. However interest accrues on the unpaid balance after that date.

Will I receive a penalty if I can't pay the full amount?
Yes, you will receive a late payment penalty. You can contact us at the number given on your notice if you're unable to pay the full amount shown in your specific notice because of circumstances beyond your control. Contact us by the due date of your payment and, depending on your situation, we may be able to remove the penalty.


Tips for next year

Consider filing your taxes electronically. Filing online can help you avoid mistakes and find credits and deductions that you may qualify for. In many cases you can file for free. Learn more about e-file.

Page Last Reviewed or Updated: 19-Feb-2014

The 1040ez File On Line

1040ez file on line 18. 1040ez file on line   Appendix This appendix contains models of the certificates, waivers, reports, and statements discussed in Part One. 1040ez file on line Model Certificate A   STATEMENT OF SUBSEQUENT SELLER     1. 1040ez file on line                 Name, address, and employer identification number of seller in subsequent sale             2. 1040ez file on line                 Name, address, and employer identification number of the buyer in subsequent sale             3. 1040ez file on line         Date and location of subsequent sale             4. 1040ez file on line         Volume and type of taxable fuel sold               The undersigned seller (“Seller”) has received the copy of the first taxpayer's report provided with this statement in     connection with Seller's purchase of the taxable fuel described in this statement. 1040ez file on line       Under penalties of perjury, Seller declares that Seller has examined this statement, including any accompanying     schedules and statements, and, to the best of Seller's knowledge and belief, they are true, correct and complete. 1040ez file on line                   Signature and date signed                   Printed or typed name of person signing this report                   Title—   Model Certificate B   FIRST TAXPAYER'S REPORT   1. 1040ez file on line                     First Taxpayer's name, address and employer identification number     2. 1040ez file on line                     Name, address, and employer identification number of the buyer of the taxable fuel subject to tax     3. 1040ez file on line           Date and location of removal, entry, or sale       4. 1040ez file on line           Volume and type of taxable fuel removed, entered or sold     5. 1040ez file on line Check type of taxable event:         Removal from refinery         Entry into United States         Bulk transfer from terminal by unregistered position holder       Bulk transfer not received at an approved terminal       Sale within the bulk transfer/terminal system       Removal at the terminal rack         Removal or sale by the blender                   6. 1040ez file on line           Amount of federal excise tax paid on account of the removal, entry, or sale                   The undersigned taxpayer (“Taxpayer”) has not received, and will not claim, a credit with respect to, or a refund of, the tax     on the taxable fuel to which this form relates. 1040ez file on line       Under penalties of perjury, Taxpayer declares that Taxpayer has examined this statement, including any accompanying     schedules and statements, and to the best of Taxpayer's knowledge and belief, they are true, correct and complete. 1040ez file on line             Signature and date signed               Printed or typed name of person signing this report               Title     Model Certificate C   NOTIFICATION CERTIFICATE OF TAXABLE FUEL REGISTRANT                           Name, address, and employer identification number of person receiving certificate       The undersigned taxable registrant (“Registrant”) hereby certifies under penalties of perjury that Registrant is registered     by the Internal Revenue Service with registration number and that Registrant's registration has not     been revoked or suspended by the Internal Revenue Service. 1040ez file on line                 Registrant understands that the fraudulent use of this certificate may subject Registrant and all parties making such     fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 1040ez file on line                       Signature and date signed                         Printed or typed name of person signing                         Title of person signing                         Name of Registrant                         Employer identification number                         Address of Registrant     Model Certificate D   CERTIFICATE OF PERSON BUYING GASOLINE BLENDSTOCKS FOR USE OTHER THAN IN THE PRODUCTION OF FINISHED GASOLINE     (To support tax-free sales (other than LUST) under section 4081 of the Internal Revenue Code. 1040ez file on line )                 Name, address, and employer identification number of seller       The undersigned buyer (“Buyer”) hereby certifies the following under penalties of perjury:       The gasoline blendstocks to which this certificate relates will not be used to produce finished gasoline. 1040ez file on line       This certificate applies to the following (complete as applicable):       If this is a single purchase certificate, check here and enter:     1. 1040ez file on line Invoice or delivery ticket number       2. 1040ez file on line (number of gallons) of(type of gasoline blendstocks)       If this is a certificate covering all purchases under a specified account or order number, check here and enter:     1. 1040ez file on line Effective date       2. 1040ez file on line Expiration date       (period not to exceed 1 year after the effective date)       3. 1040ez file on line Type (or types) of gasoline blendstocks     4. 1040ez file on line Buyer's account or order number         Buyer will not claim a credit or refund under section 6427(h) of the Internal Revenue Code for any gasoline blendstocks     covered by this certificate. 1040ez file on line         Buyer will provide a new certificate to the seller if any information in this certificate changes. 1040ez file on line       If Buyer resells the gasoline blendstocks to which this certificate relates, Buyer will be liable for tax unless Buyer obtains a     certificate from the purchaser stating that the gasoline blendstocks will not be used to produce finished gasoline and otherwise complies with the conditions of §48. 1040ez file on line 4081-4(b)(3) of the Manufacturers and Retailers Excise Tax Regulations. 1040ez file on line       Buyer understands that if Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's     right to provide a certificate. 1040ez file on line       Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. 1040ez file on line     In addition, the Internal Revenue Service has not notified Buyer that the right to provide a certificate has been withdrawn from a purchaser to which Buyer sells gasoline blendstocks tax free. 1040ez file on line       Buyer understands that 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 costs of prosecution. 1040ez file on line             Signature and date signed               Printed or typed name of person signing               Title of person signing               Name of Buyer               Employer identification number               Address of Buyer     Model Certificate G   CERTIFICATE OF REGISTERED FEEDSTOCK USER     (To support tax-free removals and entries (other than LUST) of kerosene under section 4082 of the Internal Revenue Code. 1040ez file on line )         (Buyer) certifies the following under penalties of perjury:       Name of buyer         Buyer is a registered feedstock user with registration number . 1040ez file on line Buyer's registration has not been revoked     or suspended. 1040ez file on line         The kerosene to which this certificate applies will be used by Buyer for a feedstock purpose. 1040ez file on line                 This certificate applies to percent of Buyer's purchases from (name, address, and employer     identification number of seller) as follows (complete as applicable):       1. 1040ez file on line A single purchase on invoice or delivery ticket number . 1040ez file on line                 2. 1040ez file on line All purchases between (effective date) and (expiration date) (period not to exceed     one year after the effective date) under account or order number(s) . 1040ez file on line If this certificate applies only to Buyer's     purchases for certain locations, check here and list the locations. 1040ez file on line                                   If Buyer sells the kerosene to which this certificate relates, Buyer will be liable for tax on that sale. 1040ez file on line                 Buyer will provide a new certificate to the seller if any information in this certificate changes. 1040ez file on line                 If Buyer violates the terms of this certificate, the Internal Revenue Service may revoke the Buyer's registration. 1040ez file on line                 Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use of     this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 1040ez file on line             Printed or typed name of person signing               Title of person signing               Employer identification number               Address of Buyer               Signature and date signed     Model Certificate J   CERTIFICATE OF PERSON BUYING COMPRESSED NATURAL GAS (CNG) FOR A NONTAXABLE USE     (To support tax-free sales of CNG under section 4041 of the Internal Revenue Code. 1040ez file on line )                                         Name, address, and employer identification number of seller                   (“Buyer”) certifies the following under penalties of perjury:     Name of buyer                     The CNG to which this certificate relates will be used in a nontaxable use. 1040ez file on line       This certificate applies to the following (complete as applicable):               If this is a single purchase certificate, check here and enter:       1. 1040ez file on line Invoice or delivery ticket number       2. 1040ez file on line (Gasoline gallon equivalents)       If this is a certificate covering all purchases under a specified account or order number, check here and enter:         1. 1040ez file on line Effective date         2. 1040ez file on line Expiration date         (period not to exceed 1 year after the effective date)         3. 1040ez file on line Buyer's account or order number       Buyer will not claim a credit or refund under section 6427 of the Internal Revenue Code for any CNG to which this certificate relates. 1040ez file on line       Buyer will provide a new certificate to the seller if any information in this certificate changes. 1040ez file on line       Buyer understands that if Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's     right to provide a certificate. 1040ez file on line       Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. 1040ez file on line     In addition, the Internal Revenue Service has not notified Buyer that the right to provide a certificate has been withdrawn     from a purchaser to which Buyer sells CNG tax free. 1040ez file on line       Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use     of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 1040ez file on line             Printed or typed name of person signing               Title of person signing             Employer identification number               Address of Buyer               Signature and date signed     Model Certificate K   CERTIFICATE OF PERSON BUYING KEROSENE FOR USE IN AVIATION FOR     COMMERCIAL AVIATION OR NONTAXABLE USE     (To support operator liability for tax on removals of kerosene for use in aviation directly into the fuel tank of an aircraft in commercial aviation pursuant to § 4081 of the Internal Revenue Code or to support a tax rate of zero under § 4041(c) pursuant to §§4041(c) and 4082. 1040ez file on line )           Name, address, and employer identification number of position holder       The undersigned aircraft operator (“Buyer”) hereby certifies the following under the penalties of perjury:       The kerosene for use in aviation to which this certificate relates is purchased (check one): for     use on a farm for farming purposes; for use in foreign trade (reciprocal benefits required for foreign registered airlines); for use in certain helicopter and fixed-wing air ambulance uses; for use other than as a fuel in the propulsion engine of an aircraft; for the exclusive use of a qualified blood collector organization; for the exclusive use of a nonprofit educational organization; for the exclusive use of a state; for use in an aircraft owned by an aircraft museum; for use in military aircraft; or for use in commercial aviation (other than foreign trade). 1040ez file on line       With respect to kerosene for use in aviation purchased after June 30, 2005, for use in commercial aviation     (other than foreign trade), Buyer's registration number is. 1040ez file on line Buyer's registration has not been suspended or revoked by the Internal Revenue Service. 1040ez file on line       This certificate applies to the following (complete as applicable):     This is a single purchase certificate:       1. 1040ez file on line Invoice or delivery ticket number       2. 1040ez file on line Number of gallons     This is a certificate covering all purchases under a specified account or order number:       1. 1040ez file on line Effective date       2. 1040ez file on line Expiration date (period not to exceed 1 year after the effective date)       3. 1040ez file on line Buyer's account number       Buyer agrees to provide the person liable for tax with a new certificate if any information in this certificate changes. 1040ez file on line       If the kerosene for use in aviation to which this certificate relates is being bought for use in commercial aviation     (other than foreign trade), Buyer is liable for tax on its use of the fuel and will pay that tax to the government. 1040ez file on line       If Buyer sells or uses the kerosene for use in aviation to which this certificate relates for a use other than the use     stated above, Buyer will be liable for tax. 1040ez file on line       Buyer understands that it must be prepared to establish by satisfactory evidence the purpose for which the     fuel purchased under this certificate was used. 1040ez file on line     Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. 1040ez file on line     If Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's right to provide a certificate. 1040ez file on line       The fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use of this certificate     to a fine or imprisonment, or both, together with the costs of prosecution. 1040ez file on line           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Waiver L WAIVER FOR USE BY ULTIMATE PURCHASERS OF KEROSENE FOR CERTAIN USES IN AVIATION (To support vendor's claim for a credit or payment under § 6427(l)(4)(C)(i) of the Internal Revenue Code. 1040ez file on line )               Name, Address, and Employer Identification Number of Ultimate Vendor     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. 1040ez file on line The kerosene to which this waiver relates is purchased for — (check one):       1. 1040ez file on line □ Use on a farm for farming purposes,       2. 1040ez file on line □ Use in foreign trade (reciprocal benefits required for foreign registered airlines),       3. 1040ez file on line □ Use in certain helicopter and fixed-wing air ambulance uses,       4. 1040ez file on line □ The exclusive use of a qualified blood collector organization,       5. 1040ez file on line □ The exclusive use of a nonprofit educational organization,       6. 1040ez file on line □ Use in an aircraft owned by an aircraft museum,       7. 1040ez file on line □ Use in military aircraft, or       8. 1040ez file on line □ Use in commercial aviation (other than foreign trade). 1040ez file on line     B. 1040ez file on line This waiver applies to the following (complete as applicable):       This is a single purchase waiver:           1. 1040ez file on line Invoice or delivery ticket number           2. 1040ez file on line Number of gallons       This is a waiver covering all purchases under a specified account or order number:           1. 1040ez file on line Effective date           2. 1040ez file on line Expiration date (period not to exceed 1 year after the effective date)           3. 1040ez file on line Buyer's account number       Buyer will provide a new waiver to the vendor if any information in this waiver changes. 1040ez file on line       If Buyer uses the kerosene for use in aviation to which this waiver relates for a use other than the use stated above, Buyer will be liable for tax. 1040ez file on line       Buyer understands that by signing this waiver, Buyer gives up its right to claim any credit or payment for the kerosene for use in aviation used in a nontaxable use. 1040ez file on line       Buyer acknowledges that it has not and will not claim any credit or payment for the kerosene for use in aviation to which this waiver relates. 1040ez file on line       Buyer understands that the fraudulent use of this waiver may subject Buyer and all parties making such fraudulent use of this waiver to a fine or imprisonment, or both, together with the costs of prosecution. 1040ez file on line           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate M   CERTIFICATE FOR STATE USE OR NONPROFIT EDUCATIONAL     ORGANIZATION USE     (To support vendor's claim for a credit or payment under § 6416(a)(4) of the Internal Revenue Code. 1040ez file on line )                       Name, address, and employer identification number of ultimate vendor       The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under the penalties of perjury:       Buyer will use the gasoline or aviation gasoline to which this certificate relates (check one):     For the exclusive use of a state or local government; or     For the exclusive use of a nonprofit educational organization. 1040ez file on line       This certificate applies to the following (complete as applicable):     This is a single purchase certificate:       1. 1040ez file on line Invoice or delivery ticket number       2. 1040ez file on line Number of gallons     This is a certificate covering all purchases under a specified account or order number:       1. 1040ez file on line Effective date       2. 1040ez file on line Expiration date (period not to exceed 1 year after the effective date)       3. 1040ez file on line Buyer's account number       Buyer will provide a new certificate to the vendor if any information in this certificate changes. 1040ez file on line       Buyer understands that by signing this certificate, Buyer gives up its right to claim any credit or payment for the gasoline or aviation gasoline to which this certificate relates. 1040ez file on line       Buyer acknowledges that it has not and will not claim any credit or payment for the gasoline or aviation gasoline to which this certificate relates. 1040ez file on line       Buyer understands that 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 costs of prosecution. 1040ez file on line           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Waiver N   WAIVER FOR USE BY ULTIMATE PURCHASERS OF DIESEL FUEL OR     KEROSENE USED IN INTERCITY BUS TRANSPORTATION     (To support vendor's claim for a credit or payment under § 6427 of the Internal Revenue Code. 1040ez file on line )                       Name, address, and employer identification number of ultimate vendor       The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under the penalties of perjury:       The diesel fuel or kerosene to which this waiver relates is purchased for use in intercity bus transportation. 1040ez file on line       This waiver applies to the following (complete as applicable):     This is a single purchase waiver:       1. 1040ez file on line Invoice or delivery ticket number       2. 1040ez file on line Number of gallons     This is a waiver covering all purchases under a specified account or order number:       1. 1040ez file on line Effective date       2. 1040ez file on line Expiration date (period not to exceed 1 year after the effective date)       3. 1040ez file on line Buyer's account number       Buyer will provide a new waiver to the vendor if any information in this waiver changes. 1040ez file on line       If Buyer uses the diesel fuel or kerosene to which this waiver relates for a use other than in intercity bus transportation, Buyer will be liable for tax. 1040ez file on line       Buyer understands that by signing this waiver, Buyer gives up its right to claim any credit or payment for the diesel fuel or kerosene used in intercity bus transportation. 1040ez file on line       Buyer acknowledges that it has not and will not claim any credit or payment for the diesel fuel or kerosene to which this waiver relates. 1040ez file on line       Buyer understands that the fraudulent use of this waiver may subject Buyer and all parties making such fraudulent use of this waiver to a fine or imprisonment, or both, together with the costs of prosecution. 1040ez file on line           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate O   CERTIFICATE FOR BIODIESEL     Certificate Identification Number:     (To support a claim related to biodiesel or a biodiesel mixture under section 6426 of the Internal Revenue Code. 1040ez file on line )     The undersigned biodiesel producer (“Producer”) hereby certifies the following under penalties of perjury:   1. 1040ez file on line             Producer's name, address, and employer identification number (EIN)   2. 1040ez file on line             Name, address, and EIN of person buying the biodiesel from Producer   3. 1040ez file on line       Date and location of sale to buyer   4. 1040ez file on line This certificate applies to gallons of biodiesel. 1040ez file on line   5. 1040ez file on line Producer certifies that the biodiesel to which this certificate relates is:       % Agri-biodiesel (derived solely from virgin oils)       % Biodiesel other than agri-biodiesel       This certificate applies to the following sale:       Invoice or delivery ticket number       Total number of gallons of biodiesel sold under that invoice or delivery ticket number (including biodiesel not covered by this certificate)       Total number of certificates issued for that invoice or delivery ticket number   6. 1040ez file on line             Name, address, and employer identification number of reseller to whom certificate is issued (only in the case of certificates reissued to a reseller after the return of the original certificate)   7. 1040ez file on line Original Certificate Identification Number (only in the case of certificates reissued to a reseller after return of the original certificate). 1040ez file on line       Producer is registered as a biodiesel producer with registration number . 1040ez file on line  Producer's registration has not been suspended or revoked by the Internal Revenue Service. 1040ez file on line       Producer certifies that the biodiesel to which this certificate relates in monoalkyl esters of long chain fatty acids derived from plant or animal matter that meets the requirements of the American Society of Testing and Materials D6751 and the registration requirements for fuels and fuel additives established by EPA under section 211 of the Clean Air Act (42 U. 1040ez file on line S. 1040ez file on line C. 1040ez file on line 7545). 1040ez file on line       Producer understands that the fraudulent use of this certificate may subject Producer and all parties making any fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 1040ez file on line           Printed or typed name of person signing this certificate           Title of person signing           Signature and date signed   Model Certificate P CERTIFICATE OF STATE USE (To support vendor's claim for credit or payment under section 6427 of the Internal Revenue Code. 1040ez file on line )               Name, Address, and Employer Identification Number of Vendor     The undersigned buyer (“Buyer”) hereby certifies the following under penalties of perjury:     A. 1040ez file on line Buyer will use the diesel fuel or kerosene to which this certificate relates for the exclusive use of a state or local government, or the District of Columbia. 1040ez file on line     B. 1040ez file on line This certificate applies to the following (complete as applicable):       1. 1040ez file on line   If this is a single purchase certificate, check here □ and enter:           a. 1040ez file on line Invoice or delivery ticket number           b. 1040ez file on line Number of gallons       2. 1040ez file on line   If this is a certificate covering all purchases under a specified account or order number, check here □  and enter:           a. 1040ez file on line Effective date           b. 1040ez file on line Expiration date   (period not to exceed 1 year after effective date)           c. 1040ez file on line Buyer's account or order number     ▪ Buyer will provide a new certificate to the vendor if any information in this certificate changes. 1040ez file on line     ▪ If Buyer uses the diesel fuel or kerosene to which this certificate relates for a purpose other than stated in the certificate, Buyer will be liable for any tax. 1040ez file on line     ▪ Buyer acknowledges that it has not and will not claim any credit or payment for the diesel fuel or kerosene to which this certificate relates. 1040ez file on line     ▪ Buyer understands that 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 costs of prosecution. 1040ez file on line           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate Q CERTIFICATE OF ULTIMATE PURCHASER OF KEROSENE FOR USE IN NONEXEMPT, NONCOMMERCIAL AVIATION (To support vendor's claim for credit or payment under section 6427(l)(4)(C)(ii) of the Internal Revenue Code. 1040ez file on line )               Name, Address, and Employer Identification Number of Ultimate Vendor     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. 1040ez file on line The kerosene to which this certificate relates is purchased for a nonexempt use in noncommercial aviation. 1040ez file on line     B. 1040ez file on line This certificate applies to the following (complete as applicable):       1. 1040ez file on line   If this is a single purchase certificate, check here □ and enter:           a. 1040ez file on line Invoice or delivery ticket number           b. 1040ez file on line Number of gallons       2. 1040ez file on line   This is a certificate covering all purchases under a specified account or order number:           a. 1040ez file on line Effective date           b. 1040ez file on line Expiration date   (period not to exceed 1 year after effective date)           c. 1040ez file on line Buyer's account number     ▪ Buyer will provide a new certificate to the vendor if any information in this certificate changes. 1040ez file on line     ▪ If Buyer uses the kerosene to which this certificate relates for a use other than the nontaxable use stated above, Buyer will be liable for tax. 1040ez file on line     ▪ Buyer understands that 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 costs of prosecution. 1040ez file on line           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate R CERTIFICATE OF BUYER OF TAXABLE FUEL FOR USE BY A STATE OR NONPROFIT EDUCATIONAL ORGANIZATION (To support credit card issuer's claim for credit, refund, or payment under section 6416(a)(4)(B) or section 6427(l)(5)(D) of the Internal Revenue Code. 1040ez file on line )               Name, Address, and Employer Identification Number of Credit Card Issuer. 1040ez file on line     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. 1040ez file on line Buyer will use the taxable fuel to which this certificate relates for the exclusive use of a state; or     B. 1040ez file on line Buyer will use the gasoline to which this certificate relates for the exclusive use of a nonprofit educational organization. 1040ez file on line     C. 1040ez file on line This certificate applies to all purchases made with the credit card identified below during the period specified:           a. 1040ez file on line Effective date of certificate           b. 1040ez file on line Expiration date of certificate   (period not to exceed 2 years after effective date)           c. 1040ez file on line Buyer's account number     ▪ Buyer will provide a new certificate to the credit card issuer if any information in this certificate changes. 1040ez file on line     ▪ Buyer understands that by signing this certificate, Buyer gives up its right to claim a credit or payment for the taxable fuel purchased with the credit card to which this certificate relates. 1040ez file on line     ▪ Buyer acknowledges that it has not and will not claim any credit or payment for the taxable fuel purchased with the credit card to which this certificate relates. 1040ez file on line     ▪ Buyer understands that 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 costs of prosecution. 1040ez file on line           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Statement S   STATEMENT OF BIODIESEL RESELLER     (To support a claim related to biodiesel or a biodiesel mixture under section 6426 of the Internal Revenue Code. 1040ez file on line )     The undersigned biodiesel producer (“Reseller”) hereby certifies the following under penalties of perjury:   1. 1040ez file on line                   Reseller's name, address, and employer identification number (EIN)   2. 1040ez file on line                   Name, address, and EIN of Reseller's buyer   3. 1040ez file on line       Date and location of sale to buyer   4. 1040ez file on line Volume of biodiesel sold   5. 1040ez file on line Certificate Identification Number on the Certificate for Biodiesel       Reseller has bought the biodiesel described in the accompanying Certificate for Biodiesel and Reseller has no reason to believe that any information in the certificate is false. 1040ez file on line       Reseller has not been notified by the Internal Revenue Service that its right to provide a certificate or statement has been withdrawn. 1040ez file on line       Reseller understands that the fraudulent use of this statement may subject Reseller and all parties making any fraudulent use of this statement to a fine or imprisonment, or both, together with the costs of prosecution. 1040ez file on line           Printed or typed name of person signing this certificate           Title of person signing           Signature and date signed   Prev  Up  Next   Home   More Online Publications