Application For Sale/use Tax Exemption Certificate For Agencies Of Government

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S T A T E O F M A I N E
M A I N E R E V E N U E S E R V I C E S
ADMINISTRATIVE & FINANCIAL
2 4
S T A T E H O U S E S T A T I O N
SERVICE
,
A U G U S T A
M A I N E
REBECCA M. WYKE
0 4 3 3 3 - 0 0 24
COMMISSIONER
John Elias Baldacci
JEROME D. GERARD
GOVERNOR
ACTONG EXECTUTIVE DIRECTOR
APPLICATION FOR SALE/USE TAX EXEMPTION CERTIFICATE
FOR AGENCIES OF GOVERNMENT
Name of Corporation
_______________________________________________________
Name of Agency of Government ___________________________________________________
Physical Location
_______________________________________________________
Mailing Address
_______________________________________________________
_______________________________________________________
_______________________________________________________
The statute reads, "State and political subdivisions. Sales to the State or any political subdivision, or to the
Federal Government, or to any unincorporated agency or instrumentality of either of them or to any incorporated
agency or instrumentality of them wholly owned by them. This exemption does not apply where title is held or
taken as security for any financing arrangement. This exemption also does not apply to corporations organized
under Title IV, Part E of the Farm Credit Act of 1971, 12 United States Code, Sections 2211 to 2214.
IN ORDER TO PROCESS THE APPLICATION THE FOLLOWING MUST BE INCLUDED
1. For organizations other than the Federal or State Government or any political subdivisions, send a
copy of the Constitution and/or By-laws.
2. If this organization was created through legislative act, please also site the appropriate section of law
that designates this organization’s status as an exempt agency of government.
I hereby certify that ______________________________________________________ is an agency of
government. I therefore request that a sales/use tax exemption certificate be issued to the above
organization pursuant to Title 36 MRSA 1760 (2).
Date:
Signature: ___________________________________________
Tel:
Print Name: __________________________________________
Fed ID# _______________________
Title: ________________________________________________
Date Facility Opened: __________________________________
ST-R-08
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E A R I N G
M P A I R E D
H O N E
E-mail:
sales.tax@state.me.us

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