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T ONLY FORM 4776 (REV. 11-2005) ULTIMATE VENDOR NAME TELEPHONE NUMBER ADDRESS Print Form DLN P.O. BOX FEIN OR SOCIAL SECURITY NUMBER CITY STATE ZIP PRODUCT CODE 065 Gasoline 123 Alcohol 124 Gasohol 125 Aviation Gasoline 130 Jet Fuel 142 Kerosene 072 Dyed Kerosene 160 Diesel Fuel 228 Dyed Diesel Fuel SALES INFORMATION Federal Government Agency 284 Bio-Diesel Undyed B100 285 Soy Oil 290 Bio-Diesel Dyed B100 Date of Sale 122.

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How to fill out the Brtgpk online

This guide will help you accurately complete the Brtgpk form, which is essential for obtaining motor fuel without paying tax for sales to the U.S. Federal Government. By following these step-by-step instructions, you will be able to efficiently navigate the online filling process and ensure your documentation is correct.

Follow the steps to successfully fill out the Brtgpk form online.

  1. Press the ‘Get Form’ button to access the Brtgpk online. This will open the form in an editable format.
  2. In the 'Ultimate Vendor Name' field, enter the full name of the ultimate vendor. This is the individual or company that will be purchasing the fuel.
  3. Fill in the 'Telephone Number' and 'Address' fields with the appropriate contact information for the ultimate vendor.
  4. Provide either the FEIN (Federal Employer Identification Number) or the Social Security number in the designated field to uniquely identify the vendor.
  5. Complete the 'Sales Information' section by writing the name of the federal government agency that will be using the fuel.
  6. Enter the 'Date of Sale'. Ensure this date corresponds to the purchase transaction.
  7. Select the 'Product Type' from the list provided, denoting which type of fuel is being purchased.
  8. Indicate the 'Number of Gallons' to specify the volume of fuel sold.
  9. Ensure you review the certification statement. By signing, you acknowledge the truth of the statement regarding the use of the certificate.
  10. Provide your printed name and sign the form in the designated 'Authorized Signature of Ultimate Vendor' field.
  11. Enter the date of your signature.
  12. If applicable, complete the fields for any intermediate vendors involved in the transaction. Provide their FEIN, Address, City, State, Zip, and signatures as necessary.
  13. After verifying all information is accurate and complete, you can save, download, print, or share the form as needed.

Complete your Brtgpk form online today to ensure compliance and efficiency in your motor fuel purchases.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232