Page 110 - IRS Business Tax Credits Guide
P. 110
Page 31 of 38
The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
Model Certificate UTZ
Page 5 Fileid: … ns/i8933/202212/a/xml/cycle06/source 12:51 - 5-Jan-2023
Utilization Certification (continued) Under penalties of perjury, I attest that I am an officer of the company that’s the owner of the subject utilization project. I further attest that the above information is true and correct and that I have provided a signed copy of this completed certificate to each person who supplied qualified carbon oxide to my company for use at the subject utilization facility during this year.
Signature and date signed Printed or typed name of person signing this report Company's name and EIN
Instructions for Form 8933 (Rev. 12-2022) Title -31-
