File your Taxes for Free!
  • Get your maximum refund*
  • 100% accurate calculations guaranteed*

TurboTax Federal Free Edition - File Taxes Online

Don't let filing your taxes get you down! We'll help make it as easy as possible. With e-file and direct deposit, there's no faster way to get your refund!

Approved TurboTax Affiliate Site. TurboTax and TurboTax Online, among others, are registered trademarks and/or service marks of Intuit Inc. in the United States and other countries. Other parties' trademarks or service marks are the property of the respective owners.


© 2012 - 2018 All rights reserved.

This is an Approved TurboTax Affiliate site. TurboTax and TurboTax Online, among other are registered trademarks and/or service marks of Intuit, Inc. in the United States and other countries. Other parties' trademarks or service marks are the property of the respective owners.
When discussing "Free e-file", note that state e-file is an additional fee. E-file fees do not apply to New York state returns. Prices are subject to change without notice. E-file and get your refund faster
*If you pay an IRS or state penalty or interest because of a TurboTax calculations error, we'll pay you the penalty and interest.
*Maximum Refund Guarantee - or Your Money Back: If you get a larger refund or smaller tax due from another tax preparation method, we'll refund the applicable TurboTax federal and/or state purchase price paid. TurboTax Federal Free Edition customers are entitled to payment of $14.99 and a refund of your state purchase price paid. Claims must be submitted within sixty (60) days of your TurboTax filing date and no later than 6/15/14. E-file, Audit Defense, Professional Review, Refund Transfer and technical support fees are excluded. This guarantee cannot be combined with the TurboTax Satisfaction (Easy) Guarantee. *We're so confident your return will be done right, we guarantee it. Accurate calculations guaranteed. If you pay an IRS or state penalty or interest because of a TurboTax calculations error, we'll pay you the penalty and interest.
https://turbotax.intuit.com/corp/guarantees.jsp

2011 1040 Ez Form

Student Tax FormsPrint State Tax FormMilitary Tax ServiceHow To File An Amended Tax ReturnFiling An Amended Tax Return For 2013Www.state Tax Forms2013 Irs Form 1040 EzFile For 2012 TaxesWww Taxslayer Com MilitaryCollege Student Filing TaxesFile 1040ezDoes H&r Block Do Taxes For FreeHandr BlockTax Planning Us 2006 TaxesForm 1040-ez 20131040ez Efile Free2010 Income TaxWww Taxes Hrblock Com1040ez 2012 InstructionsAmend 2011 ReturnTurbo Tax Free MilitaryEfile 2011 TaxesAmend 2008 Tax ReturnFree State Returns Taxes FilingE File 2011 Tax Return In 20131040ez Tax Forms DownloadsEfile For Free State And FederalPrint Free 1040ez Tax FormTax Return FormsHow Do I File Back TaxesWebsite Can I Efile Past Year Tax ReturnsTaxes Hrblock ComHow To File 2012 Tax Return In 20141040ez Online Tax ReturnEz FormFederal Income Tax Forms For 2012File Last Years TaxesIrs Gov EfileTaxact Amend 2010 Return1040 Easy Form 2012

2011 1040 Ez Form

2011 1040 ez form Publication 51 - Additional Material Prev  Up  Next   Home   More Online Publications
Print - Click this link to Print this page

Subscribe to the FATCA News and Information List

Prepared by the Large Business and International division (LB&I), the FATCA News and Information list provides information on the latest IRS news, guidance, regulations and other public information related to the Foreign Account Tax Compliance Act (FATCA) including information that affects:

  • Individuals with foreign accounts
  • Foreign financial institutions registration, reporting and withholding requirements
  • Non-Financial Foreign Entities
  • Tax and compliance professionals interested in the implementation and requirements of FATCA

Information to this list will be released as it become available to those stakeholders and members of the public affected by FATCA.

When you subscribe, you will receive a confirmation message by e-mail. Remember, you must respond to this email in order to verify your subscription.

Instructions to register for FATCA News and Information:

  1. Click the "Subscribe/Unsubscribe" link below.
  2. On the registration page, enter your email address, then click "submit."
  3. On the subscription page, check the box labeled "FATCA News and Information," which you will find under the Large Business and International (LB&I) heading.
  4. Click the "submit" button at the bottom of the page.


Subscribe / Unsubscribe

Page Last Reviewed or Updated: 13-Mar-2014

The 2011 1040 Ez Form

2011 1040 ez form 18. 2011 1040 ez form   Appendix This appendix contains models of the certificates, waivers, reports, and statements discussed in Part One. 2011 1040 ez form Model Certificate A   STATEMENT OF SUBSEQUENT SELLER     1. 2011 1040 ez form                 Name, address, and employer identification number of seller in subsequent sale             2. 2011 1040 ez form                 Name, address, and employer identification number of the buyer in subsequent sale             3. 2011 1040 ez form         Date and location of subsequent sale             4. 2011 1040 ez form         Volume and type of taxable fuel sold               The undersigned seller (“Seller”) has received the copy of the first taxpayer's report provided with this statement in     connection with Seller's purchase of the taxable fuel described in this statement. 2011 1040 ez form       Under penalties of perjury, Seller declares that Seller has examined this statement, including any accompanying     schedules and statements, and, to the best of Seller's knowledge and belief, they are true, correct and complete. 2011 1040 ez form                   Signature and date signed                   Printed or typed name of person signing this report                   Title—   Model Certificate B   FIRST TAXPAYER'S REPORT   1. 2011 1040 ez form                     First Taxpayer's name, address and employer identification number     2. 2011 1040 ez form                     Name, address, and employer identification number of the buyer of the taxable fuel subject to tax     3. 2011 1040 ez form           Date and location of removal, entry, or sale       4. 2011 1040 ez form           Volume and type of taxable fuel removed, entered or sold     5. 2011 1040 ez form Check type of taxable event:         Removal from refinery         Entry into United States         Bulk transfer from terminal by unregistered position holder       Bulk transfer not received at an approved terminal       Sale within the bulk transfer/terminal system       Removal at the terminal rack         Removal or sale by the blender                   6. 2011 1040 ez form           Amount of federal excise tax paid on account of the removal, entry, or sale                   The undersigned taxpayer (“Taxpayer”) has not received, and will not claim, a credit with respect to, or a refund of, the tax     on the taxable fuel to which this form relates. 2011 1040 ez form       Under penalties of perjury, Taxpayer declares that Taxpayer has examined this statement, including any accompanying     schedules and statements, and to the best of Taxpayer's knowledge and belief, they are true, correct and complete. 2011 1040 ez form             Signature and date signed               Printed or typed name of person signing this report               Title     Model Certificate C   NOTIFICATION CERTIFICATE OF TAXABLE FUEL REGISTRANT                           Name, address, and employer identification number of person receiving certificate       The undersigned taxable registrant (“Registrant”) hereby certifies under penalties of perjury that Registrant is registered     by the Internal Revenue Service with registration number and that Registrant's registration has not     been revoked or suspended by the Internal Revenue Service. 2011 1040 ez form                 Registrant understands that the fraudulent use of this certificate may subject Registrant and all parties making such     fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form                       Signature and date signed                         Printed or typed name of person signing                         Title of person signing                         Name of Registrant                         Employer identification number                         Address of Registrant     Model Certificate D   CERTIFICATE OF PERSON BUYING GASOLINE BLENDSTOCKS FOR USE OTHER THAN IN THE PRODUCTION OF FINISHED GASOLINE     (To support tax-free sales (other than LUST) under section 4081 of the Internal Revenue Code. 2011 1040 ez form )                 Name, address, and employer identification number of seller       The undersigned buyer (“Buyer”) hereby certifies the following under penalties of perjury:       The gasoline blendstocks to which this certificate relates will not be used to produce finished gasoline. 2011 1040 ez form       This certificate applies to the following (complete as applicable):       If this is a single purchase certificate, check here and enter:     1. 2011 1040 ez form Invoice or delivery ticket number       2. 2011 1040 ez form (number of gallons) of(type of gasoline blendstocks)       If this is a certificate covering all purchases under a specified account or order number, check here and enter:     1. 2011 1040 ez form Effective date       2. 2011 1040 ez form Expiration date       (period not to exceed 1 year after the effective date)       3. 2011 1040 ez form Type (or types) of gasoline blendstocks     4. 2011 1040 ez form Buyer's account or order number         Buyer will not claim a credit or refund under section 6427(h) of the Internal Revenue Code for any gasoline blendstocks     covered by this certificate. 2011 1040 ez form         Buyer will provide a new certificate to the seller if any information in this certificate changes. 2011 1040 ez form       If Buyer resells the gasoline blendstocks to which this certificate relates, Buyer will be liable for tax unless Buyer obtains a     certificate from the purchaser stating that the gasoline blendstocks will not be used to produce finished gasoline and otherwise complies with the conditions of §48. 2011 1040 ez form 4081-4(b)(3) of the Manufacturers and Retailers Excise Tax Regulations. 2011 1040 ez form       Buyer understands that if Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's     right to provide a certificate. 2011 1040 ez form       Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. 2011 1040 ez form     In addition, the Internal Revenue Service has not notified Buyer that the right to provide a certificate has been withdrawn from a purchaser to which Buyer sells gasoline blendstocks tax free. 2011 1040 ez form       Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use     of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form             Signature and date signed               Printed or typed name of person signing               Title of person signing               Name of Buyer               Employer identification number               Address of Buyer     Model Certificate G   CERTIFICATE OF REGISTERED FEEDSTOCK USER     (To support tax-free removals and entries (other than LUST) of kerosene under section 4082 of the Internal Revenue Code. 2011 1040 ez form )         (Buyer) certifies the following under penalties of perjury:       Name of buyer         Buyer is a registered feedstock user with registration number . 2011 1040 ez form Buyer's registration has not been revoked     or suspended. 2011 1040 ez form         The kerosene to which this certificate applies will be used by Buyer for a feedstock purpose. 2011 1040 ez form                 This certificate applies to percent of Buyer's purchases from (name, address, and employer     identification number of seller) as follows (complete as applicable):       1. 2011 1040 ez form A single purchase on invoice or delivery ticket number . 2011 1040 ez form                 2. 2011 1040 ez form All purchases between (effective date) and (expiration date) (period not to exceed     one year after the effective date) under account or order number(s) . 2011 1040 ez form If this certificate applies only to Buyer's     purchases for certain locations, check here and list the locations. 2011 1040 ez form                                   If Buyer sells the kerosene to which this certificate relates, Buyer will be liable for tax on that sale. 2011 1040 ez form                 Buyer will provide a new certificate to the seller if any information in this certificate changes. 2011 1040 ez form                 If Buyer violates the terms of this certificate, the Internal Revenue Service may revoke the Buyer's registration. 2011 1040 ez form                 Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use of     this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form             Printed or typed name of person signing               Title of person signing               Employer identification number               Address of Buyer               Signature and date signed     Model Certificate J   CERTIFICATE OF PERSON BUYING COMPRESSED NATURAL GAS (CNG) FOR A NONTAXABLE USE     (To support tax-free sales of CNG under section 4041 of the Internal Revenue Code. 2011 1040 ez form )                                         Name, address, and employer identification number of seller                   (“Buyer”) certifies the following under penalties of perjury:     Name of buyer                     The CNG to which this certificate relates will be used in a nontaxable use. 2011 1040 ez form       This certificate applies to the following (complete as applicable):               If this is a single purchase certificate, check here and enter:       1. 2011 1040 ez form Invoice or delivery ticket number       2. 2011 1040 ez form (Gasoline gallon equivalents)       If this is a certificate covering all purchases under a specified account or order number, check here and enter:         1. 2011 1040 ez form Effective date         2. 2011 1040 ez form Expiration date         (period not to exceed 1 year after the effective date)         3. 2011 1040 ez form Buyer's account or order number       Buyer will not claim a credit or refund under section 6427 of the Internal Revenue Code for any CNG to which this certificate relates. 2011 1040 ez form       Buyer will provide a new certificate to the seller if any information in this certificate changes. 2011 1040 ez form       Buyer understands that if Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's     right to provide a certificate. 2011 1040 ez form       Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. 2011 1040 ez form     In addition, the Internal Revenue Service has not notified Buyer that the right to provide a certificate has been withdrawn     from a purchaser to which Buyer sells CNG tax free. 2011 1040 ez form       Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use     of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form             Printed or typed name of person signing               Title of person signing             Employer identification number               Address of Buyer               Signature and date signed     Model Certificate K   CERTIFICATE OF PERSON BUYING KEROSENE FOR USE IN AVIATION FOR     COMMERCIAL AVIATION OR NONTAXABLE USE     (To support operator liability for tax on removals of kerosene for use in aviation directly into the fuel tank of an aircraft in commercial aviation pursuant to § 4081 of the Internal Revenue Code or to support a tax rate of zero under § 4041(c) pursuant to §§4041(c) and 4082. 2011 1040 ez form )           Name, address, and employer identification number of position holder       The undersigned aircraft operator (“Buyer”) hereby certifies the following under the penalties of perjury:       The kerosene for use in aviation to which this certificate relates is purchased (check one): for     use on a farm for farming purposes; for use in foreign trade (reciprocal benefits required for foreign registered airlines); for use in certain helicopter and fixed-wing air ambulance uses; for use other than as a fuel in the propulsion engine of an aircraft; for the exclusive use of a qualified blood collector organization; for the exclusive use of a nonprofit educational organization; for the exclusive use of a state; for use in an aircraft owned by an aircraft museum; for use in military aircraft; or for use in commercial aviation (other than foreign trade). 2011 1040 ez form       With respect to kerosene for use in aviation purchased after June 30, 2005, for use in commercial aviation     (other than foreign trade), Buyer's registration number is. 2011 1040 ez form Buyer's registration has not been suspended or revoked by the Internal Revenue Service. 2011 1040 ez form       This certificate applies to the following (complete as applicable):     This is a single purchase certificate:       1. 2011 1040 ez form Invoice or delivery ticket number       2. 2011 1040 ez form Number of gallons     This is a certificate covering all purchases under a specified account or order number:       1. 2011 1040 ez form Effective date       2. 2011 1040 ez form Expiration date (period not to exceed 1 year after the effective date)       3. 2011 1040 ez form Buyer's account number       Buyer agrees to provide the person liable for tax with a new certificate if any information in this certificate changes. 2011 1040 ez form       If the kerosene for use in aviation to which this certificate relates is being bought for use in commercial aviation     (other than foreign trade), Buyer is liable for tax on its use of the fuel and will pay that tax to the government. 2011 1040 ez form       If Buyer sells or uses the kerosene for use in aviation to which this certificate relates for a use other than the use     stated above, Buyer will be liable for tax. 2011 1040 ez form       Buyer understands that it must be prepared to establish by satisfactory evidence the purpose for which the     fuel purchased under this certificate was used. 2011 1040 ez form     Buyer has not been notified by the Internal Revenue Service that its right to provide a certificate has been withdrawn. 2011 1040 ez form     If Buyer violates the terms of this certificate, the Internal Revenue Service may withdraw Buyer's right to provide a certificate. 2011 1040 ez form       The fraudulent use of this certificate may subject Buyer and all parties making any fraudulent use of this certificate     to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Waiver L WAIVER FOR USE BY ULTIMATE PURCHASERS OF KEROSENE FOR CERTAIN USES IN AVIATION (To support vendor's claim for a credit or payment under § 6427(l)(4)(C)(i) of the Internal Revenue Code. 2011 1040 ez form )               Name, Address, and Employer Identification Number of Ultimate Vendor     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. 2011 1040 ez form The kerosene to which this waiver relates is purchased for — (check one):       1. 2011 1040 ez form □ Use on a farm for farming purposes,       2. 2011 1040 ez form □ Use in foreign trade (reciprocal benefits required for foreign registered airlines),       3. 2011 1040 ez form □ Use in certain helicopter and fixed-wing air ambulance uses,       4. 2011 1040 ez form □ The exclusive use of a qualified blood collector organization,       5. 2011 1040 ez form □ The exclusive use of a nonprofit educational organization,       6. 2011 1040 ez form □ Use in an aircraft owned by an aircraft museum,       7. 2011 1040 ez form □ Use in military aircraft, or       8. 2011 1040 ez form □ Use in commercial aviation (other than foreign trade). 2011 1040 ez form     B. 2011 1040 ez form This waiver applies to the following (complete as applicable):       This is a single purchase waiver:           1. 2011 1040 ez form Invoice or delivery ticket number           2. 2011 1040 ez form Number of gallons       This is a waiver covering all purchases under a specified account or order number:           1. 2011 1040 ez form Effective date           2. 2011 1040 ez form Expiration date (period not to exceed 1 year after the effective date)           3. 2011 1040 ez form Buyer's account number       Buyer will provide a new waiver to the vendor if any information in this waiver changes. 2011 1040 ez form       If Buyer uses the kerosene for use in aviation to which this waiver relates for a use other than the use stated above, Buyer will be liable for tax. 2011 1040 ez form       Buyer understands that by signing this waiver, Buyer gives up its right to claim any credit or payment for the kerosene for use in aviation used in a nontaxable use. 2011 1040 ez form       Buyer acknowledges that it has not and will not claim any credit or payment for the kerosene for use in aviation to which this waiver relates. 2011 1040 ez form       Buyer understands that the fraudulent use of this waiver may subject Buyer and all parties making such fraudulent use of this waiver to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate M   CERTIFICATE FOR STATE USE OR NONPROFIT EDUCATIONAL     ORGANIZATION USE     (To support vendor's claim for a credit or payment under § 6416(a)(4) of the Internal Revenue Code. 2011 1040 ez form )                       Name, address, and employer identification number of ultimate vendor       The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under the penalties of perjury:       Buyer will use the gasoline or aviation gasoline to which this certificate relates (check one):     For the exclusive use of a state or local government; or     For the exclusive use of a nonprofit educational organization. 2011 1040 ez form       This certificate applies to the following (complete as applicable):     This is a single purchase certificate:       1. 2011 1040 ez form Invoice or delivery ticket number       2. 2011 1040 ez form Number of gallons     This is a certificate covering all purchases under a specified account or order number:       1. 2011 1040 ez form Effective date       2. 2011 1040 ez form Expiration date (period not to exceed 1 year after the effective date)       3. 2011 1040 ez form Buyer's account number       Buyer will provide a new certificate to the vendor if any information in this certificate changes. 2011 1040 ez form       Buyer understands that by signing this certificate, Buyer gives up its right to claim any credit or payment for the gasoline or aviation gasoline to which this certificate relates. 2011 1040 ez form       Buyer acknowledges that it has not and will not claim any credit or payment for the gasoline or aviation gasoline to which this certificate relates. 2011 1040 ez form       Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Waiver N   WAIVER FOR USE BY ULTIMATE PURCHASERS OF DIESEL FUEL OR     KEROSENE USED IN INTERCITY BUS TRANSPORTATION     (To support vendor's claim for a credit or payment under § 6427 of the Internal Revenue Code. 2011 1040 ez form )                       Name, address, and employer identification number of ultimate vendor       The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under the penalties of perjury:       The diesel fuel or kerosene to which this waiver relates is purchased for use in intercity bus transportation. 2011 1040 ez form       This waiver applies to the following (complete as applicable):     This is a single purchase waiver:       1. 2011 1040 ez form Invoice or delivery ticket number       2. 2011 1040 ez form Number of gallons     This is a waiver covering all purchases under a specified account or order number:       1. 2011 1040 ez form Effective date       2. 2011 1040 ez form Expiration date (period not to exceed 1 year after the effective date)       3. 2011 1040 ez form Buyer's account number       Buyer will provide a new waiver to the vendor if any information in this waiver changes. 2011 1040 ez form       If Buyer uses the diesel fuel or kerosene to which this waiver relates for a use other than in intercity bus transportation, Buyer will be liable for tax. 2011 1040 ez form       Buyer understands that by signing this waiver, Buyer gives up its right to claim any credit or payment for the diesel fuel or kerosene used in intercity bus transportation. 2011 1040 ez form       Buyer acknowledges that it has not and will not claim any credit or payment for the diesel fuel or kerosene to which this waiver relates. 2011 1040 ez form       Buyer understands that the fraudulent use of this waiver may subject Buyer and all parties making such fraudulent use of this waiver to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate O   CERTIFICATE FOR BIODIESEL     Certificate Identification Number:     (To support a claim related to biodiesel or a biodiesel mixture under section 6426 of the Internal Revenue Code. 2011 1040 ez form )     The undersigned biodiesel producer (“Producer”) hereby certifies the following under penalties of perjury:   1. 2011 1040 ez form             Producer's name, address, and employer identification number (EIN)   2. 2011 1040 ez form             Name, address, and EIN of person buying the biodiesel from Producer   3. 2011 1040 ez form       Date and location of sale to buyer   4. 2011 1040 ez form This certificate applies to gallons of biodiesel. 2011 1040 ez form   5. 2011 1040 ez form Producer certifies that the biodiesel to which this certificate relates is:       % Agri-biodiesel (derived solely from virgin oils)       % Biodiesel other than agri-biodiesel       This certificate applies to the following sale:       Invoice or delivery ticket number       Total number of gallons of biodiesel sold under that invoice or delivery ticket number (including biodiesel not covered by this certificate)       Total number of certificates issued for that invoice or delivery ticket number   6. 2011 1040 ez form             Name, address, and employer identification number of reseller to whom certificate is issued (only in the case of certificates reissued to a reseller after the return of the original certificate)   7. 2011 1040 ez form Original Certificate Identification Number (only in the case of certificates reissued to a reseller after return of the original certificate). 2011 1040 ez form       Producer is registered as a biodiesel producer with registration number . 2011 1040 ez form  Producer's registration has not been suspended or revoked by the Internal Revenue Service. 2011 1040 ez form       Producer certifies that the biodiesel to which this certificate relates in monoalkyl esters of long chain fatty acids derived from plant or animal matter that meets the requirements of the American Society of Testing and Materials D6751 and the registration requirements for fuels and fuel additives established by EPA under section 211 of the Clean Air Act (42 U. 2011 1040 ez form S. 2011 1040 ez form C. 2011 1040 ez form 7545). 2011 1040 ez form       Producer understands that the fraudulent use of this certificate may subject Producer and all parties making any fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing this certificate           Title of person signing           Signature and date signed   Model Certificate P CERTIFICATE OF STATE USE (To support vendor's claim for credit or payment under section 6427 of the Internal Revenue Code. 2011 1040 ez form )               Name, Address, and Employer Identification Number of Vendor     The undersigned buyer (“Buyer”) hereby certifies the following under penalties of perjury:     A. 2011 1040 ez form Buyer will use the diesel fuel or kerosene to which this certificate relates for the exclusive use of a state or local government, or the District of Columbia. 2011 1040 ez form     B. 2011 1040 ez form This certificate applies to the following (complete as applicable):       1. 2011 1040 ez form   If this is a single purchase certificate, check here □ and enter:           a. 2011 1040 ez form Invoice or delivery ticket number           b. 2011 1040 ez form Number of gallons       2. 2011 1040 ez form   If this is a certificate covering all purchases under a specified account or order number, check here □  and enter:           a. 2011 1040 ez form Effective date           b. 2011 1040 ez form Expiration date   (period not to exceed 1 year after effective date)           c. 2011 1040 ez form Buyer's account or order number     ▪ Buyer will provide a new certificate to the vendor if any information in this certificate changes. 2011 1040 ez form     ▪ If Buyer uses the diesel fuel or kerosene to which this certificate relates for a purpose other than stated in the certificate, Buyer will be liable for any tax. 2011 1040 ez form     ▪ Buyer acknowledges that it has not and will not claim any credit or payment for the diesel fuel or kerosene to which this certificate relates. 2011 1040 ez form     ▪ Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate Q CERTIFICATE OF ULTIMATE PURCHASER OF KEROSENE FOR USE IN NONEXEMPT, NONCOMMERCIAL AVIATION (To support vendor's claim for credit or payment under section 6427(l)(4)(C)(ii) of the Internal Revenue Code. 2011 1040 ez form )               Name, Address, and Employer Identification Number of Ultimate Vendor     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. 2011 1040 ez form The kerosene to which this certificate relates is purchased for a nonexempt use in noncommercial aviation. 2011 1040 ez form     B. 2011 1040 ez form This certificate applies to the following (complete as applicable):       1. 2011 1040 ez form   If this is a single purchase certificate, check here □ and enter:           a. 2011 1040 ez form Invoice or delivery ticket number           b. 2011 1040 ez form Number of gallons       2. 2011 1040 ez form   This is a certificate covering all purchases under a specified account or order number:           a. 2011 1040 ez form Effective date           b. 2011 1040 ez form Expiration date   (period not to exceed 1 year after effective date)           c. 2011 1040 ez form Buyer's account number     ▪ Buyer will provide a new certificate to the vendor if any information in this certificate changes. 2011 1040 ez form     ▪ If Buyer uses the kerosene to which this certificate relates for a use other than the nontaxable use stated above, Buyer will be liable for tax. 2011 1040 ez form     ▪ Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Certificate R CERTIFICATE OF BUYER OF TAXABLE FUEL FOR USE BY A STATE OR NONPROFIT EDUCATIONAL ORGANIZATION (To support credit card issuer's claim for credit, refund, or payment under section 6416(a)(4)(B) or section 6427(l)(5)(D) of the Internal Revenue Code. 2011 1040 ez form )               Name, Address, and Employer Identification Number of Credit Card Issuer. 2011 1040 ez form     The undersigned ultimate purchaser (“Buyer”) hereby certifies the following under penalties of perjury:     A. 2011 1040 ez form Buyer will use the taxable fuel to which this certificate relates for the exclusive use of a state; or     B. 2011 1040 ez form Buyer will use the gasoline to which this certificate relates for the exclusive use of a nonprofit educational organization. 2011 1040 ez form     C. 2011 1040 ez form This certificate applies to all purchases made with the credit card identified below during the period specified:           a. 2011 1040 ez form Effective date of certificate           b. 2011 1040 ez form Expiration date of certificate   (period not to exceed 2 years after effective date)           c. 2011 1040 ez form Buyer's account number     ▪ Buyer will provide a new certificate to the credit card issuer if any information in this certificate changes. 2011 1040 ez form     ▪ Buyer understands that by signing this certificate, Buyer gives up its right to claim a credit or payment for the taxable fuel purchased with the credit card to which this certificate relates. 2011 1040 ez form     ▪ Buyer acknowledges that it has not and will not claim any credit or payment for the taxable fuel purchased with the credit card to which this certificate relates. 2011 1040 ez form     ▪ Buyer understands that the fraudulent use of this certificate may subject Buyer and all parties making such fraudulent use of this certificate to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing           Title of person signing           Name of Buyer           Employer identification number           Address of Buyer           Signature and date signed   Model Statement S   STATEMENT OF BIODIESEL RESELLER     (To support a claim related to biodiesel or a biodiesel mixture under section 6426 of the Internal Revenue Code. 2011 1040 ez form )     The undersigned biodiesel producer (“Reseller”) hereby certifies the following under penalties of perjury:   1. 2011 1040 ez form                   Reseller's name, address, and employer identification number (EIN)   2. 2011 1040 ez form                   Name, address, and EIN of Reseller's buyer   3. 2011 1040 ez form       Date and location of sale to buyer   4. 2011 1040 ez form Volume of biodiesel sold   5. 2011 1040 ez form Certificate Identification Number on the Certificate for Biodiesel       Reseller has bought the biodiesel described in the accompanying Certificate for Biodiesel and Reseller has no reason to believe that any information in the certificate is false. 2011 1040 ez form       Reseller has not been notified by the Internal Revenue Service that its right to provide a certificate or statement has been withdrawn. 2011 1040 ez form       Reseller understands that the fraudulent use of this statement may subject Reseller and all parties making any fraudulent use of this statement to a fine or imprisonment, or both, together with the costs of prosecution. 2011 1040 ez form           Printed or typed name of person signing this certificate           Title of person signing           Signature and date signed   Prev  Up  Next   Home   More Online Publications