Form CDTFA-231-PM "Fuel Tax Exemption Certificate for Motor Vehicle Fuel Gasoline Blendstock" - California

What Is Form CDTFA-231-PM?

This is a legal form that was released by the California Department of Tax and Fee Administration - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the California Department of Tax and Fee Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CDTFA-231-PM by clicking the link below or browse more documents and templates provided by the California Department of Tax and Fee Administration.

ADVERTISEMENT
ADVERTISEMENT

Download Form CDTFA-231-PM "Fuel Tax Exemption Certificate for Motor Vehicle Fuel Gasoline Blendstock" - California

187 times
Rate (4.3 / 5) 9 votes
CDTFA-231-PM (1-19)
STATE OF CALIFORNIA
FUEL TAX EXEMPTION CERTIFICATE FOR MOTOR
CALIFORNIA DEPARTMENT OF
VEHICLE FUEL GASOLINE BLENDSTOCK
TAX AND FEE ADMINISTRATION
Revenue and Taxation Code section 7402
SELLER NAME
ADDRESS (street, city, state, ZIP code)
SUPPLIER LICENSE NUMBER
FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
I, the undersigned, certify under penalty of perjury that to the best of my knowledge, the
information I have provided on this form is true and correct; that all gasoline blendstocks
purchased under this certificate will not be used to produce finished gasoline.
By signing this certificate, I acknowledge my understanding that if any gasoline blendstocks
purchased with this certificate are sold or otherwise used in a taxable manner, I am required
to report and pay the motor vehicle fuel taxes on this fuel promptly at the time of sale or use.
I also understand that the law provides civil and criminal penalties for fraudulent use of this
certificate.
Note: Buyer must provide a new certificate to the seller if any information in this certificate changes,
or one year from effective date.
EFFECTIVE DATE
EXPIRATION DATE (period not to exceed one year after the effective date)
PURCHASER NAME (print full name)
TITLE
SIGNATURE
DATE
COMPANY NAME
EMAIL ADDRESS
BUSINESS ADDRESS (street, city, state, ZIP code)
CDTFA LICENSE NUMBER (if applicable)
FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
CLEAR
PRINT
CDTFA-231-PM (1-19)
STATE OF CALIFORNIA
FUEL TAX EXEMPTION CERTIFICATE FOR MOTOR
CALIFORNIA DEPARTMENT OF
VEHICLE FUEL GASOLINE BLENDSTOCK
TAX AND FEE ADMINISTRATION
Revenue and Taxation Code section 7402
SELLER NAME
ADDRESS (street, city, state, ZIP code)
SUPPLIER LICENSE NUMBER
FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
I, the undersigned, certify under penalty of perjury that to the best of my knowledge, the
information I have provided on this form is true and correct; that all gasoline blendstocks
purchased under this certificate will not be used to produce finished gasoline.
By signing this certificate, I acknowledge my understanding that if any gasoline blendstocks
purchased with this certificate are sold or otherwise used in a taxable manner, I am required
to report and pay the motor vehicle fuel taxes on this fuel promptly at the time of sale or use.
I also understand that the law provides civil and criminal penalties for fraudulent use of this
certificate.
Note: Buyer must provide a new certificate to the seller if any information in this certificate changes,
or one year from effective date.
EFFECTIVE DATE
EXPIRATION DATE (period not to exceed one year after the effective date)
PURCHASER NAME (print full name)
TITLE
SIGNATURE
DATE
COMPANY NAME
EMAIL ADDRESS
BUSINESS ADDRESS (street, city, state, ZIP code)
CDTFA LICENSE NUMBER (if applicable)
FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)
CLEAR
PRINT