Form 38303 - Application For Exempt Certificate printable pdf download

Form 38303 - Application For Exempt Certificate

K E N A I P E N I N S U L A B O R O U G H

144 N. BINKLEY · SOLDOTNA, ALASKA · 99669-7520

BUSINESS (907) 262-4441

FAX (907) 714-2376

SALES TAX: (907) 714-2175

EMAIL: SALESTAX@BOROUGH.KENAI.AK.US

WEB SITE:

JOHN J. WILLIAMS

MAYOR

APPLICATION FOR EXEMPT CERTIFICATE

 Exempt Certificates are processed each Thursday. Applications received after 12:00 P.M. on Tuesday

will not be processed until the following week.

 Cost per Exempt Certificate is $10.00 per certificate issued.

 ORIGINAL EXEMPT CERTIFICATE MUST BE PRESENTED TO THE SELLER AT THE TIME OF

PURCHASE IN ORDER TO RECEIVE THE EXEMPTION, NO COPIES.

SECTION 1: Current Organization information.

Application for January 1 through December 31,

This is a

NEW

RENEWAL

Check this box if the information below is NOT correct. Please correct where necessary.

Account #:

Organization Name:

Mailing Address:

Phone #:

City:

State:

Zip:

Organization activity:

SECTION 2: Officer Information

Officer's Name

Title

SECTION 3: Name of person(s) who will carry Exempt Certificate(s) (limit 5 certificates per business).

$10.00 Each

One letter per box

$10.00

TOTAL REMITTED:

I declare subject to the penalties prescribed in Kenai Peninsula Borough ordinances that this application has been examined by me and to the best of my

knowledge and belief is a true and complete application. I am aware this certificate only exempts the organization's purchases and those sales that are

not subject to federal income tax. I understand that misuse of the Exempt Certificate is unlawful and subject to prosecution and fine.

AUTHORIZED SIGNATURE REQUIRED

Date

38303

EXEMPT CERTIFICATES EXPIRE EVERY DECEMBER 31