Application For Sales And Use Tax Exemption For Nonprofit Organizations - Virginia Department Of Taxation Page 4

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Section VII - Signature:
I declare that this organization’s financial information is true, accurate, and complete.
___________________________________________________________ Date __________________
Authorized Representative
MAILING INFORMATION: Send completed form with attachments or change of address to:
Virginia Department of Taxation
Virginia Department of Taxation
Office of Customer Services
Office of Customer Services
Nonprofit Exemption Unit
OR
Nonprofit Exemption Unit
Post Office Box 27125
600 East Main Street
Richmond, Virginia 23261-7125
Richmond, Virginia 23219
Telephone Number (804) 371-4023
Telephone Number (804) 371-4023
Fax: 804-786-2645
Fax: 804-786-2645
Va. Dept. of Taxation
Rev. (01/04/08)
Page 4

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