Texas Form 06 352 PDF Details

In Texas, managing fuel purchases, especially for businesses that rely on diesel for operations not involving public highways, demands careful adherence to regulatory measures. The Texas 06 352 form, officially titled "Texas End User Signed Statement for Purchasing Tax-Free Dyed Diesel Fuel," serves as a critical document for such transactions. This form is specifically designed for entities seeking to purchase dyed diesel fuel without the addition of state tax, which is permissible under certain conditions outlined by the Texas Comptroller of Public Accounts. The form requires detailed information from both the selling supplier or distributor and the purchasing entity, including names, addresses, taxpayer numbers, and a clear statement of intent regarding the use of the purchased diesel fuel. It explicitly queries the purchaser's intended use of the fuel, with a strict prohibition on its use for motor vehicles on public roads, resale purposes, or in quantities exceeding 10,000 gallons per month, unless a specific exception applies. By signing the form, purchasers declare that the fuel will be used in accordance with these restrictions, acknowledging the severe penalties for false statements. This document is essential for businesses relying on dyed diesel for its cost-effectiveness in eligible applications, shaping how they maintain compliance with state tax laws.

QuestionAnswer
Form NameTexas Form 06 352
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestexas comptroller 06 352 form, texas end user signed statement, texas end user signed statement form, 06 352

Form Preview Example

06-352 (Rev.8-09/8)

TEXAS END USER SIGNED STATEMENT FOR PURCHASING TAX-FREE

DYED DIESEL FUEL

Selling supplier or distributor:

Address:

Purchasing entity name

End user signed statement number

Address

Beginning effective date

Taxpayer number

If the p urc has e r is a d iv is io n o f a c o rp o ratio n, g iv e the nam e and ad d re s s o f the p are nt c o rp o ratio n, no t the d iv is io n DBA nam e .

Parent corporation name:

Address:

PLEASE READ CAREFULLY BEFORE SIGNING

1.

Will you use any of this diesel fuel in a motor vehicle on public highways, streets or roads?

YES

2.

Will you resell any of this diesel fuel?

YES

3.

Will you purchase more than 10,000 gallons per month?

YES

NO NO NO

If any answer is "YES," you may not legally sign this statement.

EXCEPTION: A purchaser using an End User Signed Statement Number to purchase dyed diesel fuel for exclusive use in oil or gas production must

also furnish a Letter of Exception issued by the Comptroller to authorize the purchase of up to 25,000 gallons per month.

NOTE: THIS IS YOUR MASTER COPY. PLEASE RETAIN IN YOUR FILES AND MAKE COPIES AS NEEDED.

I DECLARE THAT:

none of the dyed diesel fuel purchased on this signed statement will be used on public highways, streets or roads;

all of the dyed diesel fuel purchased on this signed statement will be consumed by the purchaser in Texas and will not be resold; and

none of the dyed diesel fuel purchased on this signed statement will be delivered or permitted to be delivered into the fuel supply tanks of motor vehicles operating on public highways, streets or roads in this state.

I am aware that certain fines and criminal penalties are provided by law for giving a false diesel fuel signed statement.

Name of purchaser (Type or print)

By:

Purchaser or authorized representative (Type or print)

Signature of authorized representative

For information, call (800) 252-1383

or (512) 463-4600.

Date

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