Get Texas End User Signed Statement

Filling out the Texas End User Signed Statement correctly is essential for purchasing dyed diesel fuel tax-free. This guide provides step-by-step instructions to help you navigate the form and complete it accurately.

Follow the steps to fill out the Texas End User Signed Statement online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the selling supplier or distributor's name and address in the designated fields.
3. Fill in the purchasing entity name and the end user signed statement number as required.
4. Provide the address of the purchasing entity and the beginning effective date of the statement.
5. Input the taxpayer number, and if applicable, the name and address of the parent corporation rather than the division DBA name.
6. Carefully read the stipulations before signing the statement. Answer the three questions regarding the usage of the diesel fuel by selecting 'YES' or 'NO'. Consider your answers, as a 'YES' may prevent you from completing the statement legally.
7. Declare your understanding by providing your name, the name of the purchaser or authorized representative, and their signature. Ensure all entries are typed or printed clearly.
8. Review the completed form for any errors before saving your changes. You can then download, print, or share the form as needed.

Complete your Texas End User Signed Statement online today and ensure compliance with the requirements.