Form As 2920.1 - Certificate For Purchases Covered By A Qualified Contract - Department Of The Treasury Of Commonwealth Of Puerto Rico
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1
2
3Form AS 2920.1
Commonwealth of Puerto Rico
For seller's use
DEPARTMENT OF THE TREASURY
Rev. Nov 7 06
Invoice, receipt or
transaction number:
CERTIFICATE FOR PURCHASES COVERED
BY A QUALIFIED CONTRACT
Transaction date: Month __________ Day ____ Year ____
The purpose of this Certificate is to release the seller from his or her obligation of collecting and remitting the sales and use tax on sales of tangible
personal property covered by qualified contracts.
PART I
MERCHANT SELLER'S INFORMATION
Seller's name
Address
Zip Code
Municipality, State
PART II
PURCHASER'S INFORMATION
Complete only if you are an individual who is purchasing tangible personal property covered by a lay away plan:
Describe the tangible personal property that you are purchasing:
Amount (number) of tangible personal property covered by the lay away plan
Date on which the lay away plan was granted
Month ______________ Day ______ Year ______
Complete only if you are a merchant:
Merchant's Registration Number
Purchaser's name as it appears on the Merchant's Registration Certificate
Nature of principal business activity (Description of your commercial activity)
Describe the tangible personal property that you are purchasing:
Date on which the qualified contract was granted or the bid was awarded: Month ______________ Day ________ Year ________
Amount (number) of tangible personal property covered by the qualified contract
Amount (number) of tangible personal property acquired in the current transaction
PART III
PURCHASER'S CERTIFICATON
I hereby declare under penalties of perjury that this certificate has been examined by me, and that to the best of my knowledge and belief all the
information provided herein is true, correct and complete. I also certify that:
; Individual who acquires tangible personal property covered by a lay away plan
.
The tax-free property acquired with this certificate is covered by a lay away plan granted before October 31, 2006.
; Merchant
.
I am the merchant, or I am duly authorized to represent the merchant purchaser in the signature of this certificate.
.
The tax-free property acquired with this certificate is covered by a qualified contract or a bid that was awarded before October 31, 2006.
Purchaser's name
Purchaser's signature
Address
Telephone
Municipality
State
Zip Code
Retention: Six (6) year.
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