Application Form For Call Center Interstate And International Telecommunications Sales And Use Tax Exemption - Tennessee Department Of Revenue

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TENNESSEE DEPARTMENT OF REVENUE
Application for Call Center Interstate and International Telecommunications
Sales and Use Tax Exemption
1. Business Name
FEIN or SSN
_________________________________
2. Mailing Address
Street
City
State
ZIP Code
3. Sales Tax Account No. _________________________________ Location Identifier _______________________________________
4. Location of Call Center
Street
City
County
5. Business Contact
Name
Phone Number
Email Address
☐
☐
6. Will the applicant be using the telecommunication services at the Call Center location?
Yes
No
☐
☐
7. Will the applicant be using the telecommunication services for one of the following activities?
Yes
No
If yes, select which one(s) apply, and provide a brief description of the activities:
☐
☐
Customer services
Collections of receivables
☐
☐
Soliciting sales
Receiving reservations
☐
☐
Reactivating dormant accounts
Receiving orders
☐
☐
Conducting surveys or research
Taking orders
☐
Fund raising
8. Will the applicant have at least 250 employee jobs primarily engaged in at least one of the activities above at the
☐
☐
call center location?
Yes
No
Affidavit of Applicant
Under penalties of perjury, I declare that to the best of my knowledge this information is true and correct. I understand that any
authority given as a result of this application will be limited to the purchase of interstate and international telecommunication
services used in the operation of the call center located at the address listed above. The use of this authority for purposes other
than those authorized by law may result in the assessment of additional taxes, penalties, and interest.
Print Name
Title
Signature
Date
Please mail application to:
Tennessee Department of Revenue
Taxpayer Services Division
500 Deaderick Street
Nashville, TN 37242
RV-F1305401 (2-17)

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