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TAX EXEMPTION & REPORTING ENROLLMENT FORM <br />C. TERMS AND CONDITIONS <br />This Tax Exemption and Reporting Enrollment Form modifies a Participating Entity's charge card <br />agreement based on their participation in the Tax Exemption and Reporting Program ("Program"). <br />Signature on this form and a Participating Entity's continued use of their account constitutes <br />acceptance of these terms and conditions. All capitalized terms contained herein shall have the same <br />meaning as in the Master Agreement with the Contractor unless otherwise expressly provided herein. <br />Except as amended hereby, the charge card agreement governing your account remains in full force <br />and effect. <br />TAX EXEMPTION AND REPORTING PROGRAM <br />a. The tax exemption and reporting program (the "program") permits qualified tax-exempt <br />Participating Entities to be billed net of certain "Applicable Taxes" (as defined herein and <br />in Exhibit F). By completing this enrollment form the Participating Entity is electing to <br />participate in the program. The Contractor will enroll a Participating Entity in the <br />program upon receipt by Contractor of all of the Participating Entity's enrollment <br />materials, including all required certificates, and validation of the Participating Entity's <br />tax-exempt status. Upon completion of the Participating Entity's enrollment, their <br />invoices will reflect the net amount due with a line item indicating total "Applicable <br />Taxes" (as defined herein and in Exhibit F). The Participating Entity's reporting will provide <br />a specific breakdown of Applicable Taxes deducted for each taxing authority or <br />jurisdiction. Applicable Taxes are those federal, state, county and/or local taxes levied on <br />the purchase of gasoline or diesel fuel for which the Participating Entity has provided the <br />proper documentation to the Contractor showing their exempt status, and for which such <br />documentation has been accepted by us and for which the Program provides exemption'. <br />b. As the Participating Entity's credit card issuer, the Contractor has elected to provide <br />Participating Entities with net billing of Federal excise taxes on fuel based upon the <br />participation requirements in section (a) above. The Contractor will file a claim for <br />refund with the Internal Revenue Service for these taxes. The Participating agrees that <br />they may not file a claim for refund of any federal excise tax exempted by the Contractor <br />and not billed to the Participating Entity by the Contractor. <br />c. For state, county, special and local taxes, merchants have the option of electing to <br />participate or not to participate in the Contractor's program based on their own <br />preferences and ability to obtain refunds from state/local taxing authorities. <br />Transactions that occur at merchant locations not participating in this program will be <br />billed to Participating Entities with the tax included regardless of their exempt status. In <br />these instances the Participating Entity's reporting will contain a detailed listing of their <br />transactions and the taxes charged to them. This information may assist a Participating <br />Entity in filing their own claims for refunds if they so desire. Participating Entities agree <br />that they may not file a claim for refund of any state, county, special or local taxes <br />exempted by a participating merchant and not billed to them bythe Contractor. <br />d. The tax certificates and other pertinent documentation on which a Participating Entity's <br />exemption is based must be received by the Contractor from the Participating Entity in <br />MASTER AGREEMENT No. 00819 — FLEET CARD SERVICES PAGE 49 OF 138 <br />