Form H1654 is a document that is used to request an exemption from the Massachusetts sales and use tax. This form can be used by individuals or businesses who wish to purchase goods or services without being charged the sales tax. There are a number of eligibility requirements that must be met in order to qualify for an exemption, so it is important to understand the criteria before filing this form. The instructions for Form H1654 are very detailed, and it is essential to provide all of the information required in order for your request to be processed. If you have any questions about how to complete this form, or if you would like more information about the exemptions available under Massachusetts law, please contact our office. We would be happy to help you explore your options and file the appropriate paperwork.
Question | Answer |
---|---|
Form Name | Form H1654 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | Contracting, texas department of agriculture form h1654, servings, TX |
Texas Department of |
Adult Day Care Centers |
Form H1654 |
Agriculture |
Daily Menu Record |
February 2008 |
Name of Contracting Organization
Name of Facility
Program (TX) No.
TX -
Date
1.
Meal Type
Food Components
2.
Menu
3.
Food Items Used
4.
Amount
Prepared
5.
Leftovers*
6.Number Served Enrolled Program
Breakfast
1.Milk
2.Vegetables/Fruits
3.Grains/Breads (2 servings required)
Number of Complete Seconds
AM Snack (choose 2)
1.Milk
2.Vegetables/Fruits
3.Grains/Breads
4.Meat/Meat Alternates
Number of Complete Seconds
Lunch
1.Milk
2.Vegetables/Fruits (two or more)
3.Grains/Breads (two servings required)
4.Meat/Meat Alternates
Number of Complete Seconds
* Only programs using Offer vs. Serve may use leftovers. |
continued on page 2 |
Form H1654
Page
Adult Day Care Centers
Daily Menu Record (continued)
1.
Meal Type
2.
Menu
3.
Food Items Used
4.
Amount
5.
Leftovers*
6.Number Served Enrolled Program
PM Snack (choose 2)
1.Milk
2.Vegetables/Fruits
3.Grains/Breads
4.Meat/Meat Alternates
Number of Complete Seconds
Supper
1.Vegetables/Fruits (two or more)
2.Grains/Breads (two servings required)
3.Meat/Meat Alternates
Number of Complete Seconds
Evening Snack (choose 2)
1.Milk
2.Vegetables/Fruits
3.Grains/Breads
4.Meat/Meat Alternates
Number of Complete Seconds
* Only programs using Offer vs. Serve may use leftovers.