Changes Form To Specified Sales Tax Exemptions On Purchases Of Machinery And Equipment (Page 3 of 4) in pdf

This document is intended to alert you to the requirements contained in Florida laws and administrative rules. It do

not by its own effect create rights or require compliance.

For forms and other information, visit our Internet site at Or call Taxpayer Services, 8:00

a.m., to 7:00 p.m., ET, Monday through Friday, excluding holidays, at 800-352-3671 or 850-488-6800.

Persons with hearing or speech impairments may call our TDD at 800-367-8331 or 850-922-1115.

For a detailed written response to your questions, write the Florida Department of Revenue, Taxpayer Services, 137

Blountstown Highway, Tallahassee, FL 32304-2716.

SUGGESTED PURCHASER'S EXEMPTION CERTIFICATE

MACHINERY AND EQUIPMENT FOR USE IN

RESEARCH AND DEVELOPMENT

This is to certify that all machinery and equipment purchased or leased on or after (DATE)

from

(VENDOR)

, including purchases of materials and labor for self-fabrication of machinery and equipmen

will be used predominantly in research and development activities at

(ADDRESS)

(CITY)

Florida, County of

(COUNTY)

. Further, said machinery and equipment is exempt from tax pursuant to

Section 212.08(18), F. S., and will be used in research and development that has one of the following as its ultimat

goal:

Basic research in a scientific field of endeavor;

Advancing knowledge or technology in a scientific or technical field of endeavor;

The development of a new product, whether or not the new product is offered for sale;

The improvement of an existing product, whether or not the improved product is offered for sale;

The development of new uses of an existing product, whether or not a new use is offered as a rationale t

purchase the product; or

The design and development of prototypes, whether or not a resulting product is offered for sale.

This certificate may be used to make future qualifying purchases or leases of machinery and equipment, includ

purchases of materials and labor for self-fabrication of machinery and equipment, and it will remain in affect until

rescinded by the purchaser.

I understand that if I fraudulently issue this certificate to evade the payment of tax, I will be liable for payment

the tax plus a penalty of 200% of the tax and be liable for fine and punishment provided by law for conviction of a

felony of the third degree, as provided in s. 775.082, s. 775.083, or s. 775.084.

Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are t

________________________________

______________________________

Purchaser's Name (Print or Type)

Purchaser's Address

________________________________

______________________________

Signature and Title

Florida Sales and Use Tax No.

(if required)

Changes Form To Specified Sales Tax Exemptions On Purchases Of Machinery And Equipment Page 3

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