Exemption Affidavit For Utility Purchases Exempt From Application Of Florida Sales And Use Tax
Download a blank fillable Exemption Affidavit For Utility Purchases Exempt From Application Of Florida Sales And Use Tax in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Exemption Affidavit For Utility Purchases Exempt From Application Of Florida Sales And Use Tax with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1EXEMPTION AFFIDAVIT FOR UTILITY PURCHASES EXEMPT FROM
APPLICATION OF FLORIDA SALES AND USE TAX
Applicable to Non-commercial Common Use Facilities Only
The undersigned hereby certifies to the City of Tallahassee that until the City is otherwise notified in writing by the undersigned,
all electric energy or power purchased from the City of Tallahassee after the date of this certification will be exempt from the
Florida State Sales and Use Tax. This exemption is based upon Section 212.08(7)(j) of the Florida Statutes and Rule 12A-
1.053(1)(a) of the Rules and Regulation of the State of Florida, Department of Revenue. Rule 12A-1.053(1)(a) provides as
follows:
12A-1.053 Electric Power and Energy.
(1)(a) The sale of electric power or energy by an electric utility is taxable. The sale of electric power or energy for use in
residential households, to owners of residential models, or to licensed family day care homes by utilities who are required to pay
the gross receipts tax imposed by Chapter 203, F.S., is exempt. Also exempt is electric power or energy sold by such utilities and
used in the common areas of apartment houses, cooperatives, and condominiums, in residential facilities enumerated in Chapters
400 and 429, F.S., and in other residential facilities. However, if any part of the electric power or energy is used for a non-exempt
purpose, the entire sale is subject to tax.
The undersigned understands that if such purchases of electric power or energy do not qualify for exemption, the undersigned
will be subject to sales and use tax, interest, and penalties, by the Florida State Department of Revenue.
212.085 Fraudulent claim of exemption; penalties.—When any person shall fraudulently, for the purpose of evading tax, issue
to a vendor or to any agent of the state a certificate or statement in writing in which he or she claims exemption from sales tax,
such person, in addition to being liable for payment of the tax plus a mandatory penalty of 200 percent of the tax, shall be liable
for fine and punishment as provided by law for a conviction of a felony of the third degree, as provided in s. 775.082, s. 775.083,
or s. 775.084.
Service Address
Account Number
___________________________________________
__________________________
___________________________________________
__________________________
___________________________________________
__________________________
___________________________________________
__________________________
__________________________________________
__________________________
___________________________________________
__________________________
Property Owner: _____________________________________________________________________
Name of Complex/Development: ________________________________________________________
Utility Use Description: ________________________________________________________________
Name (PRINT): _______________________________________________________________________
Phone (____)_______________________________ Date:_____________________________________
Signature: ___________________________________________________________________________
___________________________________
___________________________
NOTARY PUBLIC
My Commission Expires
ADVERTISEMENT
0 votes
Related Articles
Related forms
Blanket Certificate Of Exemption Covering - Parish Of Iberville Sales And Use Tax Ordinances
Financial
Application For Certificate Of Exemption For An Exempt Organization From The Rhode Island Sales And Use Tax
Financial
Related Categories
Parent category: Legal