Reason for exemption. Circle the letter that identifies the reason for the exemption. A Federal government (department) B State or local government (name) C Tribal government (name) D Foreign diplomat # E Charitable organization # F Religious or educational organization # G Resale # H Agricultural production # I Industrial production/manufacturing # J Direct pay permit # K Direct mail # L Other (explain)
Reason for exemption. Circle the exemption that applies to you or your business and enter the additional information requested for that exemption. If the member state that is due tax on your purchase does not require the additional information requested for the exemption reason code circled, enter “NA” for not applicable on the appropriate line. If an exemption that is not listed applies, circle “M Other” and enter an explanation. The explanation for “M Other” must include a clear and concise explanation of the reason for the exemption claimed. Some more common exemptions that may be listed as explanation could be: interstate carrier for hire, qualified air pollution equipment, enterprise zone, etc.
Reason for exemption. Circle the letter that identifies the reason for the exemption. (Shaded items are not available in Washington State. Shaded “#” indicates no number is required.) Charitable organization # Religious organization # A Federal government (department) H Agricultural production # B State or local government (name) I Industrial production/manufacturing # C Tribal government (name) J Direct pay permit # D Foreign diplomat # K Direct mail # E F G Resale (Reseller Permit #) L Other (explain) M Educational organization #
Reason for exemption. Circle the exemption that applies to your business and enter the additional information requested for that exemption. If the member state that is due tax on your purchase does not require the additional information requested for the exemption reason code circled, enter “NA” for not applicable on the appropriate line. If an exemption that is not listed applies, circle “L Other” and enter an explanation. The explanation for “L Other” must include a clear and concise explanation of the reason for the exemption claimed. Certificate of Exemption Instructions - Continued
Reason for exemption. Check the letter that identifies the reason for the exemption. or local E Charitable organization # F Religious or educational organization # A B C D Federal government (department) State government (name) Tribal government (name) Foreign diplomat # H Agricultural production # I Industrial production/manufacturing # J Direct pay permit # K Direct mail # L Other (explain) G Resale # 6 Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of authorized purchaser Print name here Title Date Web-Fill 12-09 Streamlined Sales and Use Tax Agreement Certificate of Exemption: Multistate Supplemental Name of purchaser State Reason for exemption Identification number (if required) AR* IA IN KS KY MI MN NC ND NE NJ NV OH RI OK SD TN* UT VT WV WY *SSUTA Direct Mail provision is not in effect for Arkansas and Tennessee. Certificate of Exemption Instructions Use this form to claim exemption from sales tax on purchases of otherwise taxable items. The purchaser must complete all fields on the exemption certificate and provide the fully completed certificate to the seller in order to claim exemption.
Reason for exemption. The exemptions listed are general exemptions most commonly allowed by member states. However, each state’s laws governing exemptions are different. Not all of the reasons listed may be valid exemptions in the state in which you are claiming exemption. In addition, each state has other exemptions that are not listed on this form. To determine what sales and use tax exemptions are allowed in a particular state, refer to the state’s web site or other information available relating to their exemptions.
Reason for exemption. Reason for Exemption. Check the letter that identifies the reason for the exemption. A Federal government (department) B State or local government (name) C Tribal government (name) D Foreign diplomat # E Charitable organization # F Religious or educational organization # G Resale # H Agricultural production # I Industrial production/manufacturing # J Direct pay permit # K Multiple points of use (services, digital goods, or computer software delivered electronically) L Direct mail # M Other (explain) Sign Here I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser Print Name Here Title Date Streamlined Sales and Use Tax Agreement Exemption Certificate Instructions Use this form to claim exemption from sales tax on purchases of taxable items. The purchaser must complete all fields on the exemption certificate and provide the fully completed certificate to the seller in order to claim exemption.
Reason for exemption. Check the box that identifies the reason for the exemption. Federal government (department) State or local government (name) Tribal government (name) Foreign diplomat # Charitable organization # Religious or educational organization # Resale # Agricultural production # Industrial production/manufacturing # Direct pay permit # Direct mail # Other (explain)
Reason for exemption. Check the box for the exemption that applies to you or your business and enter the additional information requested for that exemption. If the member state that is due tax on your purchase does not require the additional information requested for the exemption reason code checked, enter “NA” for not applicable on the appropriate line. If an exemption that is not listed applies, check the box for “Other” and enter an explanation. The explanation for “Other” must include a clear and concise explanation of the reason for the exemption claimed.
Reason for exemption. Section (5) of the Certificate lists a number of general exemptions most commonly allowed by SSUTA participating states. However, each participating state’s laws governing exemptions will be different. Not all listed exemptions are valid in each participating state. Additionally, each participating state may have other exemptions that are not listed on the Certificate. To better determine what sales and use tax exemptions are valid in a particular state, please refer to the respective state’s web site or other information available relating to that state’s exemptions. Circle the exemption that you or your business is claiming and then enter all other information requested for that exemption. Instructions (A) through (L) below provide more detailed information concerning the exemptions listed in the Certificate with respect to Washington State. Information about the exemptions available in Washington State is available online at the Washington State Department of Revenue’s web site at xxx.xx.xxx.
