Sales Tax Exemption Form



LPG Sales Tax Exemption Certificate

Step 1 of 2

  • customers only qualify for tax exempt if the residence is their primary residence. (This means they live there more than 6 months out of the year)*

    I certify that I am purchasing Liquefied Petroleum Gas/LPG (Propane) from Kemgas, 1300 N. Main St, Fort Bragg, CA (Kemgas) without sales or use tax (effective September 1, 2001) under section 6353(b) of the California Revenue and Taxation Code, and which qualifies for the tax exemption indicated below:

  • Propane for Household Use

    I further certify that the Propane purchased and delivered by Kemgas is being delivered to my primary residence not serviced by gas mains and pipes, for use therein, in accordance with Revenue & Taxation Code Section 6353(b). I further certify that the Propane is being delivered into a tank with a storage capacity that is equal or greater than 30 gallons.

    I understand that if the Propane purchased and delivered by Kemgas is not used in a qualified manner, or if I am not a qualified person, that I am required by the Sales and Use Tax Law to report and pay the sales tax measured by the sales price of the property to me. I also understand that this exemption certificate is in effect of the date shown below and will remain in effect until revoked in writing.

  • This can be a 4-5 digit number or it could be 6 letters