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Application Form For Sales And Use Tax Exemption For Nonprofit Organizations Form - Virginia Department Of Taxation (2010) Page 2

Section III – Nonprofit Church

If you are a church applying for a retail sales and use tax exemption, check only one box below.

See page 2 of the instructions.

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Option 1 -Form ST-13A – Stop here. You have completed the process for applying for the ST-

13A self-issued exemption certificate. Your organization will not be assigned a tax-exempt number.

If applying online, you may download your ST-13A Exemption Certificate now. If completing a

paper application, please mail to the department for processing. Your exemption certificate will be

mailed to the physical address provided once approved by the department.

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Option 2 - Tax-Exempt Number – Proceed to Section V– Financial Information.

Section IV – Exempt From Collecting Sales Tax or Exempt on Purchases of Taxable Services

If your organization is exempt from collecting the sales tax or was exempted from paying sales tax on taxable

services as of June 30, 2003, complete Part I or Part II below as it applies to your organization. See page 2 of

the instructions.

Part I: If your organization was granted an exemption from collecting the sales and use tax by the Department

or it falls within the same class of an organization exempt from collecting sales and use tax on June 30, 2003,

check the box below that best describes your purpose. If no, proceed to Part II of question 8. See pages 5-6 of

the instructions before making a selection.

Part II: If your organization was granted an exemption from paying sales tax on taxable services as of

June 30, 2003, select the box for “Exempt on Taxable Services”. If no, select “Other” and proceed to

question 9. See pages 5-6 of the instructions before making a selection.

**You may only select one box in this section**

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Cancer Organizations

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Cardiovascular Organizations

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Diabetes Organizations

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Food Banks

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Lung Organizations

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Noncommercial Educational Telecommunications Entity

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Nonsectarian Youth Organizations

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Nutrition Programs

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Physical Education Programs

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Provide Food Packages at Reduced Prices

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School Fundraising For Elementary or Secondary Schools (Parent Teacher Association)

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Services for the blind, deaf, hearing impaired, drug abuse programs, and musically talented children of

Virginia

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Supports Public Libraries

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Taxable Service Exemption

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Training and Education in Law Enforcement

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Virginia Federation of Humane Societies

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Volunteer Fire Department and Rescue Squads

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Volunteer Medical Service Organizations

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Youth Symphony Orchestras

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Other

Va. Dept. of Taxation

Rev. (12/31/2010)

Page 2

Application Form For Sales And Use Tax Exemption For Nonprofit Organizations Form - Virginia Department Of Taxation (2010) Page 2

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