Exemptions Form From The Communications Services Tax (Page 3 of 3) in pdf

Exemptions Form From The Communications Services Tax Page 3

business identified above are for use by the exempt [religious/educational] organization identified

below.

The charges for the purchases of communications services from the dealer identified above will be

billed to and paid directly by the exempt [religious/educational] organization identified below. These

purchases are exempt from the Florida communications services tax and the local communications

services tax because the entity is exempt from federal income tax under s. 501(c)(3) of the Internal

Revenue Code and is a ["religious organization"/"educational organization"] as that term is defined

by the rules of the Department of Revenue.

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

true.

________________________________________________________________________

AUTHORIZED SIGNATURE ON BEHALF OF THE EXEMPT ORGANIZATION

________________________________________________________________________

PRINTED NAME OF AUTHORIZED SIGNATORY AND TITLE

________________________________________________________________________

NAME OF THE EXEMPT ORGANIZATION

________________________________________________________________________

ADDRESS OF EXEMPT ORGANIZATION

References: Sections 202.12(1), 202.125, 202.19(10), Florida Statutes

FOR MORE INFORMATION

This document is intended to alert you to the requirements contained in Florida laws and

administrative rules. It does not by its own effect create rights or require compliance.

For forms and other information, visit our Internet site at Or call Tax

Information Services, Monday through Friday, 8:00 a.m., to 7:00 p.m., ET, at 800-352-3671 (for

Florida residents only), or 850-488-6800.

Hearing- or speech-impaired persons should 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, Tax

Information Services, 1379 Blountstown Highway, Tallahassee, FL 32304-2716.

To receive a fax copy of a form, call 850-922-3676 from your fax machine telephone.

Exemptions Form From The Communications Services Tax Page 3