Contractor Exempt Form
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4ST-120.1
New York State Department of Taxation and Finance
New York State and Local Sales and Use Tax
Contractor Exempt Purchase Certificate
(12/12)
To be used only by contractors who are registered with the Tax Department for sales tax purposes.
To vendors:
You must collect tax on any sale of taxable property or services unless the contractor gives you a properly
completed exempt purchase certificate not later than 90 days after the property is sold or service is
rendered. In addition, you must keep the certificate for at least three years, as explained in the instructions.
This form cannot be used to purchase motor fuel or diesel motor fuel exempt from tax.
To contractors and vendors: read the instructions on pages 3 and 4 carefully before completing or accepting this certificate.
Name of seller
Name of purchasing contractor
Street address
Street address
City
State
ZIP code
City
State
ZIP code
I have been issued a New York State Certificate of Authority,
1.
, to collect
(enter your sales tax identification number)
New York State and local sales and use tax, and that certificate has not expired or been suspended or revoked.
2.
The tangible personal property or service being purchased will be used on the following project:
located at
for and with
pursuant to prime contract dated
.
3.
These purchases are exempt from sales and use tax because:
(Mark an X in the appropriate box; for further explanation, see items A through N in the instructions on pages 3 and 4.)
A. The tangible personal property will be used
C. The tangible personal property will be used:
in the above project to create a building
• in an Internet data center when the property
or structure or to improve real property or
is to be incorporated as part of a capital
to maintain, service, or repair a building,
improvement; or
structure, or real property, owned by
• directly and predominantly in connection
an organization exempt under Tax Law
with telecommunications services for sale
section 1116(a). (For example, New York
or Internet access services for sale; or
State government entities, United States
• directly and predominantly by a television or
governmental entities, United Nations and
radio broadcaster in connection with producing
any international organization of which the
or transmitting live or recorded programs.
United States is a member, certain posts or
organizations of past or present members
D. The tangible personal property, including
of the armed forces, and certain nonprofit
production machinery and equipment, is
organizations and Indian nations or tribes
for installation in the above project and
that have received New York State sales tax
will remain tangible personal property after
exempt organization status.) The tangible
installation.
personal property will become an integral
component part of such building, structure, or
E. The tangible personal property will be used
real property.
predominantly either in farm production or in
a commercial horse boarding operation, or in
B. The tangible personal property is production
both.
machinery and equipment, and it will be
incorporated into real property.
Note: This certificate is not valid unless the purchaser completes the certification on page 2.
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