Form Rv-093 - Sales Tax Exempt Status Application - 2003 Page 2
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2Sales Tax Exempt Status Application, Page 2
Activities and Operational Information (Attach additional pages if necessary.)
R
A
ELIEF
GENCIES
1. Sources of Funding:__________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
2. Nature of Expenditures:_______________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
3. Explain how the agency uses its resources exclusively for the relief of the poor, disadvantaged, or underprivileged:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
E
I
DUCATIONAL
NSTITUTIONS
1. Describe the physical location of the institution, including the classrooms:_________________________________________________
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
2. Describe the faculty, students, courses of study, accreditation, and degree awarded:__________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
3. Explain how the school is related to a religious society and how the religious views are promoted through education:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
I
DECLARE under the penalties of perjury that I am authorized to sign this application on behalf of the above-named organization and I
have examined this application, including the accompanying statements, and to the best of my knowledge it is true, correct, and complete.
Print Name: _____________________________________________________________________________________________________________
Signature: _______________________________________________________________________________________________________________
Title or authority: _________________________________________________________________________________________________________
Social Security Number:_________________________________________ Date: ___________________________________________________
Agent’s Signature: _____________________________________________ Date: __________________________________________
RV-093 07/03
PRINT FOR MAILING
EXIT
CLEAR FORM
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