Form St-Pe1 Application For Certificate Of Exemption Production Equipment Or Services For Film Producers Or Film Production Companies
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2ST-PE1 (04/2006)
STATE OF GEORGIA
Clear Form
Department of Revenue
Sales and Use Tax Division
1800 Century Boulevard, NE, Ste. 15311
Atlanta, Georgia 30345-3205
Telephone: (404) 417-6649
Fax Form to: (404) 962-4053
APPLICATION FOR CERTIFICATE OF EXEMPTION
PRODUCTION EQUIPMENT OR SERVICES FOR FILM PRODUCERS
OR FILM PRODUCTION COMPANIES
1. Title of Project ____________________________________________ Producer _____________________________________
2. Production Company_______________________________________________________ FEI#__________________________
3. Mailing Address_____________________________________________________________, (State) _____(Zip)_____________
4. Business or Shoot Location_________________________ ___________________________,Georgia, (Zip)_________________
5. Primary Contact Person______
______________________ _____ Phon
e (___ )_
______________ Fax (____)______ _________
6. E-Mail Address: __________________________________________________
7. Project Type _______________Estimated Budget_______________ Shoot Dates: From _____________ To ________________
(Feature Film, Commercial, Documentary, TV Series, etc.)
8. Project's Intended Geographic Distribution __________________________________ Distribution Format __________________
9. Will equipment be: [ ] Purchased
[ ] Leased or Rented
[ ] or Both
10. Anticipated date purchases, rentals or leases will begin: _____
______
_________, be completed: _____
____________________.
11. List the anticipated type of equipment and purchase price for which exemption is claimed. Attach schedule if needed.
Equipment
Purchase Price
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Attach separate equipment list if needed.
The undersigned hereby certifies that purchases or leases of production equipment or production services for exclusive use in this state
qualifies based upon the exemption provisions of O.C.G.A. § 48-8-3(73). A copy of the certification issued by the Georgia Film,
Video & Music Office of the Department of Economic Development must accompany this application in order for it to be valid.
GEORGIA CERTIFICATE OF REGISTRATION NO.______________________ DATE___________________________
___
__
(IF APPLICABLE)
SIGNATURE________________________________________________TITLE________________________________
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