Fill Out a Valid Oklahoma 13 79 Form Create This Oklahoma 13 79 Now

Fill Out a Valid Oklahoma 13 79 Form

The Oklahoma 13 79 form serves as an Exemption Certificate, allowing certain entities to claim exemption from the Excise Tax under the Oklahoma Motor Fuel Tax Code. This form must be completed and retained by the vendor for a minimum of three years. It is essential for qualifying organizations, such as public school districts and volunteer fire departments, to accurately fill out this document to ensure compliance and avoid penalties.

Create This Oklahoma 13 79 Now
Navigation

The Oklahoma 13 79 form serves as a crucial document for individuals and entities seeking exemption from the excise tax imposed under the Oklahoma Motor Fuel Tax Code. This exemption certificate is specifically designed for various types of buyers, including public school districts, volunteer fire departments, and federally recognized Indian tribes, among others. Each entity must complete a separate certificate to validate their claim for tax exemption when purchasing specific fuel types, such as gasoline, undyed diesel, compressed natural gas (CNG), and liquefied natural gas (LNG). The form requires the vendor's information, including name, address, and Federal Employer Identification Number (FEIN), ensuring proper documentation is retained for a minimum of three years. Additionally, the buyer must provide their details, including a signature, to affirm the accuracy of the information and acknowledge the potential consequences of fraudulent use. The form emphasizes the importance of completeness, as any omissions may lead to the disallowance of the exemption. Understanding the stipulations of this form is essential for eligible entities to benefit from the tax relief it offers.

Sample - Oklahoma 13 79 Form

FORM 13-79

REVISED 11-2013

EXEMPTION CERTIFICATE

To support Buyer’s claim for an exemption from payment of Excise Tax levied under the Oklahoma Motor Fuel Tax Code.

(Vendor shall retain this document for not less than three (3) years)

______________________________________________

_______________________________________________

Name of Vendor

Vendor FEIN

_________________________________________________________________________________________________

Address of Vendor

_____________________________________________________

______________

__________________________

City

State

Zip Code

To be submitted to the following Supplier, CNG and/or LNG Wholesaler/Retailer:

Name: ________________________________________

FEIN: __________________________________________

THIS EXEMPTION APPLIES TO: (CHECK ONLY ONE TYPE OF ENTITY)

COMPLETE A SEPARATE EXEMPTION CERTIFICATE FOR EACH EXEMPT ENTITY.

Public School District, FFA, 4-H Club for the Purpose of Transporting Public School Children

School District for Operation of Vehicles Used in Driver Training

Volunteer Fire Department

Rural Electric Cooperative

Rural Water and Sewer District

Rural Amublance Service District

Federally Recognized Indian Tribe

Agency or Instrumentality of the United States

City, County, or Town

State of Oklahoma, Underground Storage Fee

FOR PURCHASE OF: (CHECK WHICH FUEL TYPE(S) APPLY)

Gasoline

Undyed Diesel

(Number of Gallons: _____________________ )

(Number of Gallons: _____________________ )

CNG

Petroleum Underground

(Number of Gallons: _____________________ )

Storage (Number of Gallons: ______________ )

LNG

(Number of Gallons: _____________________ )

Period in which the fuel was purchased: _______________________________________________________________

The BUYER understands that the fraudulent use of this certiicate to obtain fuel without paying the tax levied will result in BUYER paying the tax, with penalties and interest.

______________________________________________

_______________________________________________

Name of Buyer

Social Security Number or FEIN

_____________________________________________________________________ ( ______ ) _________________

Address of BuyerTelephone Number of Buyer

_____________________________________________________ ______________

__________________________

City

State

Zip Code

______________________________________________

_______________________________________________

Signature of Buyer

Date Signed

 

______________________________________________

_______________________________________________

Printed or Typed Name of Person Signing

Title of Person Signing

 

OMITTING Information required by Section 500.13 may result in the DISALLOWANCE of the Exemption.

Except for the ORIGINAL SIGNATURE, this form may be duplicated for future purchases.

Form Properties

Fact Name Description
Purpose of the Form The Oklahoma 13-79 form serves as an Exemption Certificate to support a buyer's claim for exemption from the Excise Tax under the Oklahoma Motor Fuel Tax Code.
Retention Requirement Vendors must retain this document for a minimum of three years to comply with state regulations.
Eligible Entities Various entities, including public school districts, volunteer fire departments, and federally recognized Indian tribes, can use this form to claim an exemption.
Fraudulent Use Consequences The buyer acknowledges that fraudulent use of the form will result in tax liability along with penalties and interest.
Please rate Fill Out a Valid Oklahoma 13 79 Form Form
4.72
(Superb)
18 Votes