Form As 2917.1 - Application For Duplicate Of Sales And Use Tax Certificates And Waivers - 2013 Page 2

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INSTRUCTIONS
This form shall be completed by every person to whom the Department of the Treasury has issued a Merchants’ Registration
Certificate, Exemption Certificate, Reseller’s Certificate, Eligible Reseller’s Certificate, Eligible Wholesaler’s Waiver and/or
Manufacturer’s Waiver, and wishes to request a duplicate because of theft, destruction or loss of such certificate.
Indicate on lines 1 and 2 the same information included on the Application for Merchant’s Registration Certificate (Form AS
2914.1), Application for Exemption Certificate for Manufacturing Plants (Form AS 2914.1 D), Application for Reseller Certificate
and Municipal SUT Exemption Certificate (Form AS 2914.1 E), Application for Eligible Reseller Certificate (Form AS 2914.1 F),
Application for Eligible Wholesaler Waiver (Form AS 2914.1 G) and/or Application for Manufacturer Waiver (Form AS 2914.1 H),
previously filed to the Department of the Treasury.
Indicate on line 3 the type of duplicate requested and on line 4 the reason for requesting the same. You must submit copy of
the complaint filed with the Puerto Rico Police Department in case that you are requesting a duplicate of the Exemption
Certificate.
The application can be mailed to the Department of the Treasury, Taxpayer’s Service Bureau, Merchants’ Registry, PO Box
9024140, San Juan, PR 00902-4140. You may also visit any of the Taxpayer’s Service Centers located in:
AGUADILLA
MAYAGÜEZ
Punta Borinquen Shopping Center
Governmental Center
Bert Street, East Parade Street Intersection
50 Nenadich Street
Bo. Malezas Abajo, Ramey Base
1st floor – Office 102
ARECIBO
PONCE
Governmental Center
Governmental Center
372 José A. Cedeño Ave.
2440 Las Américas Ave.
Building B – Office 106
4th floor – Office 409
BAYAMON
SAN JUAN
Gutiérrez Building – 2nd floor
Intendente Ramírez Building
Beside Hermanos Meléndez Hospital
10 Paseo Covadonga
Road #2
Old San Juan
1st floor - Office 101
CAGUAS
Governmental Center
HATO REY
Goyco Street, Acosta Corner
Mercantil Plaza
1st floor - Office 110
Stop 27½, Ponce de León Ave.
1st floor
Complete this form in all of its parts. Submitting an incomplete form may delay the issuance of the Certificates and/or
Waivers.
Any person that violates the provisions of Subtitle D of the Puerto Rico Internal Revenue Code of 2011, as amended, the
requirements established by the Secretary or the regulations promulgated under this Subtitle, will be subject to administrative
and criminal sanctions, as applicable. Therefore, the information provided in this application must be true, correct and
complete.

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