Form St-R-34 - Application For Sale/use Tax Exemption Certificate For A Nonprofit Youth Organization
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1S 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 A NONPROFIT YOUTH ORGANIZATION
Name of Corporation
_______________________________________________________
Name of Youth Organization
_______________________________________________________
Physical Location
_______________________________________________________
Mailing Address
_______________________________________________________
_______________________________________________________
The statute reads, "Nonprofit youth organization. Sales to nonprofit youth organizations
whose primary purpose is to provide athletic instruction in a nonresidential setting; PL 1989,
c 533, §7 (amd).
Has the youth organization 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 IRS determination letter indicating 501(c) nonprofit status
2. Documentation which indicates the purpose of organization
3. What percent of your organization is geared towards the youth, (18years old or younger)?
%
I hereby certify that ______________________________________________________ is nonprofit youth
organization. I therefore request that a sales/use tax exemption certificate be issued to the above organization
pursuant to Title 36 MRSA 1760 (56).
Date:
Signature: ___________________________________________
Tel:
Print Name: __________________________________________
Fed ID #_______________________
Title: _______________________________________________
Date Facility Opened: __________________________________
ST-R-34
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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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