Application For Sale/use Tax Exemption Certificate For An Incorporated Nonprofit Institution That Conduct Scientific And Technological Research For The Maine Science And Technology Foundation And Receives Funding Pursuant To Title 5, Chapter 385

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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 AN
INCORPORATED NONPROFIT INSTITUTION THAT CONDUCT SCIENTIFIC AND
TECHNOLOGICAL RESEARCH FOR THE MAINE SCIENCE AND TECHNOLOGY
FOUNDATION AND RECEIVES FUNDING PURSUANT TO TITLE 5, CHAPTER 385
Name of Corporation
_______________________________________________________
Name of Organization
_______________________________________________________
Physical Location
_______________________________________________________
Mailing Address
_______________________________________________________
_______________________________________________________
_______________________________________________________
The statute reads, "Maine Science and Technology Foundation. Sales to institutions incorporated as nonprofit
organizations that conduct scientific and technological research for the Maine Science and Technology
foundation and receive funding pursuant to Title 5, chapter 385."
Is the scientific and technological research foundation incorporated? Yes ___ No ___
Send a copy of the articles of incorporation
Has the scientific and technological research foundation received 501(c) nonprofit status from the IRS?
Yes ___ No ___
Send a copy of the IRS determination letter indicating 501(c) nonprofit status
IN ORDER TO PROCESS THE APPLICATION THE FOLLOWING MUST BE INCLUDED
1. Copy of the Articles of Incorporation, as well as a copy of the Constitution and/or By-law
2. Copy of the IRS determination letter indicating 501(c) nonprofit status
3. Copy of agreement with the Science and Technology Foundation
I hereby certify that ______________________________________________________ is an incorporated
nonprofit scientific and technological research foundation. I therefore request that a sales/use tax exemption
certificate be issued to the above organization pursuant to Title 36 MRSA 1760 (68)(84).
Date:
Signature: __________________________________________
Tel:
Print Name: ________________________________________
Fed ID# ______________________
Title: ______________________________________________
Date Facility Opened: _________________________________
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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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