Follow the steps to complete the form effectively.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling in the name, address, and employer identification number of the ultimate vendor. This information identifies the party submitting the form.
3. Indicate whether the gasoline or aviation gasoline will be used for the exclusive use of a state or a nonprofit educational organization by checking the appropriate box.
4. If this is a single purchase certificate, complete the invoice or delivery ticket number and the number of gallons for the transaction.
5. If the certificate covers all purchases under a specified account or order number, provide the effective date, expiration date (not exceeding one year from the effective date), and the buyer account number.
6. Acknowledge the requirement to provide a new certificate to the vendor if any information changes.
7. Understand that signing the certificate relinquishes the right to claim any credit or payment related to the gasoline or aviation gasoline specified.
8. Ensure to include the printed or typed name, title, name of the buyer, employer identification number, and address of the buyer.
9. Finally, sign and date the form to validate it.
10. After completing the form, you can save your changes, download, print, or share it as needed.

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