Free TC-721CNG, Utah Sales Tax Exemption Certificate for Compressed Natural Gas - Utah

Utah State Tax Commission

Exemption Certificate for Compressed Natural Gas
(Sales, Use, Municipal Energy and Compressed Natural Gas)
Name of business claiming exemption (buyer) Street Address Authorized Signature Name (please print) City Telephone Number State Title Date

TC-721CNG
Rev. 12/08

ZIP Code

Sales Tax Account Number: Municipal Energy Sales and Use Account Number: CNG Account Number: Name of Seller or Supplier:

If you have questions, contact Taxpayer Services (preferably in writing), Utah State Tax Commission, 210 N 1950 W, Salt Lake City, UT 84134. Telephone 801-297-3525, or toll free 1-800-662-4335, ext. 3525.

DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION
Keep it with your records in case of an audit.
This certificate is not valid unless it is filled in completely. A sales tax license number, a municipal energy sales and use account number, and a CNG license are required.

Compressed Natural Gas (CNG)
Buyer Certifies: I will compress a portion of my natural gas purchases for use in motor vehicles, which will therefore be subject to the fuels tax. I will report CNG used in motor vehicles on the highway on my Utah CNG tax return. The remainder will be subject to use tax and to municipal energy sales and use tax, which I will report on my Sales and Use Tax Return and on my Municipal Energy Sales and Use Tax Return.

IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.

Clear form

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Note to seller: Keep this certificate on file since it must be available for audit review. Note to buyer: Keep a copy of this certificate for your records. You must notify the seller of cancellation, modification, or limitation of this exemption. _ _ _ _ _ ________________ _________________________________

If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at 801-297-3811 or TDD 801-297-2020. Please allow three working days for a response.