Get Texas End User Agricultural Signed Statement

The Texas End User Agricultural Signed Statement is essential for purchasing tax-free dyed diesel fuel for agricultural purposes. This guide provides clear instructions for filling out the form online, ensuring that users understand each component and requirement.

Follow the steps to complete the form with ease.

1. Use the ‘Get Form’ button to access the document and open it for editing.
2. Enter the selling supplier or distributor's name and address in the designated fields.
3. Input the purchasing entity name and end user agricultural signed statement number in the appropriate sections.
4. Provide the address of the purchasing entity.
5. Specify the beginning effective date of the statement.
6. Enter your taxpayer number, ensuring it is accurate.
7. If the purchaser is a division of a corporation, include the parent corporation's name and address.
8. Carefully read the three questions regarding fuel usage, resale, and monthly purchase volume. Answer each question truthfully.
9. In the declaration section, acknowledge your understanding of the conditions for using dyed diesel fuel.
10. Type or print the name of the purchaser and any authorized representative, following with their signatures.
11. Finally, ensure you have entered the date and review the completed form for accuracy before submission.

Complete and submit your Texas End User Agricultural Signed Statement online today.