The following forms can be completed electronically from your computer or smartphone with the same legal standing as a signed piece of paper.
Simply click the link below, enter your email address, and you'll receive an email from HelloSign with a direct link to complete the form online.
When you press 'Submit', your form will be automatically sent to our Archer City office. If you have any questions, do not hesitate to contact our Archer City office at (940) 574-4622 and ask for Kimbra.
Forms Required for Federal Fuel Tax Exemption
Haigood & Campbell will complete the fields for your account number, invoice number, or delivery ticket number.
Forms Required for Texas State Fuel Tax Exemption
Haigood & Campbell will use your 11-digit Taxpayer Number to confirm your tax status, and we will input your AG or DD numbers along with the effective date.
Texas Dyed Diesel End User Signed Statement Form - If you do not have a Dyed Diesel End User Number, here is a link to the application form as provided by the State. The form has instructions on submitting the application to the Comptroller's office (Link to Application).
Forms Required for Texas Sales & Use Tax
The form below must be printed, signed, and scanned (firstname.lastname@example.org) or faxed (940) 574-2523.
H&C Fuels Credit Application - This application is to be used only if you are requesting credit for the PacPride Fueling location in Blum Texas.