CERTIFICATE OF EXEMPTION - FUEL AND/OR SUPPLIES PURCHASED FOR USE
OR CONSUMPTION ABOARD VESSELS ENGAGED IN FOREIGN OR INTERNATIONAL
COMMERCE OR IN INTERSTATE COMMERCE.
PROPERTY PURCHASED:
INVOICE NO. QUANTITY ITEM
DESCRIPTION AMOUNT
______________________ ________________ ________
______________________ ________________
______________________ ________________ ________
______________________ ________________
______________________ ________________ ________
______________________ ________________
CERTIFICATE OF PURCHASER:
I, the undersigned vessel owner, operator, captain, or representative thereof, hereby certify the above described property is being purchased for use or consumption aboard vessels engaged in foreign or international commerce or in interstate commerce pursuant to the provisions of Code of Ala. 1975, §§40-23-4(a)(10) and 40-23-62(12).
I also certify I am aware that §§40-23-4(a)(10) and 40-23-62(12) provide that any person filing a false certificate shall be guilty of a misdemeanor and, upon their conviction, shall be fined not less than $25.00 nor more than $500.00. I further certify I am aware that any person filing a false certificate shall be liable to the Alabama Revenue Department for all taxes imposed upon the merchant or seller, together with any interest and penalties thereon, by reason of the sales of fuel and/or supplies applicable to such false certificate.
SIGNATURE:______________________________________
PURCHASER'S BUSINESS ADDRESS:
TITLE:_______________________________________________
VESSEL:_____________________________________________
DATE:_______________________________________________
CERTIFICATE OF MERCHANT OR SELLER:
I, the undersigned merchant or seller, hereby certify that the above described fuel and/or supplies are being sold exempt from sales or use tax for use or consumption aboard vessels engaged in foreign or international commerce or in interstate commerce and that the above duly signed certificate of the purchaser was secured at the time of such sale.
SIGNATURE: ___________________________________________________
TITLE:________________________________________________________
DATE:_________________________________________________________
Author: Ginger Buchanan
Ala. Admin. Code r. 810-6-3-.67.04
Statutory Authority:Code of Ala. 1975, §§ 40-23-4(a)(10), 40-23-62(12), 40-23-31, 40-23-83.