Certificate Of Capital Improvement -St-124 printable pdf download

ST-124

New York State Department of Taxation and Finance

New York State and Local Sales and Use Tax

Certiﬁcate of Capital Improvement

(2/12)

After this certiﬁcate is completed and signed by both the customer and the contractor performing the capital improvement,

it must be kept by the contractor.

Read this form completely before making any entries.

This certiﬁcate may not be used to purchase building materials exempt from tax.

Name of customer

Name of contractor

(print or type)

Address

(number and street)

City

State

ZIP code

City

State

ZIP code

Sales tax Certiﬁcate of Authority number (if any)

To be completed by the customer

Describe capital improvement to be performed:

Project name

Street address (where the work is to be performed)

City

State

ZIP code

I certify that:

tenant of the real property identiﬁed on this form; and

owner

(mark one)

and

includes

does not include the sale of any tangible personal property that, when installed, does not

(mark one)

become a permanent part of the real property (for example, a free-standing microwave or washing machine).

I understand that:

labor if it is determined that this work does not qualify as a capital improvement; and

transferred to me pursuant to this contract when the property installed by the contractor does not become a permanent part of the

real property; and

Signature of customer

Title

Date

To be completed by the contractor

I, the contractor, certify that I have entered into a contract to perform the work described by the customer named above, and that I

accept this form in good faith. (A copy of the written contract, if any, is attached.) I understand that my failure to collect tax as a result of

accepting an improperly completed certiﬁcate will make me personally liable for the tax otherwise due, plus penalties and interest.

Signature of contractor or ofﬁcer

Title

Date

This certiﬁcate is not valid unless all entries are completed.

Certificate Of Capital Improvement -St-124

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