Sections 63-3612, 63-3613, 63-3622, 63-3622G, Idaho Code
I certify that the gas I have purchased will be used in a furnace or similar device for the purpose of water heating, cooking, or raising or maintaining the temperature in an enclosed space, dwelling, or building.
This tax exemption statement qualifies if this statement is signed by the buyer and the name and address of the buyer is shown on the invoice.
Any person who signs this certificate with the intention of evading payment of tax is guilty of a misdemeanor.
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BUYER'S SIGNATURE
The signature of the buyer on this statement be in addition to any other signature required on the invoice.
Idaho Admin. Code r. 35.01.02.088