Application For Sales Tax Exemption Certificate For Non-Profit Organizations

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Sales Tax Division
155 South Seward Street
Juneau, AK 99801
(907) 586-5265
APPLICATION FOR SALES TAX EXEMPTION CERTIFICATE
FOR NON-PROFIT ORGANIZATIONS
I,
,
Name
Title
representing
, a non-profit
Organization Name
organization whose mailing address is
Mailing Address
,
City, State, Zip
hereby apply for a Sales Tax exemption Certificate under Provision 12 of the Sales Tax Ordinance CBJ
69.05.040. I certify the attached* evidence of our Internal Revenue Service classification of 501 (c) (3) or 501
(c) (4) is in good standing.
I am aware this certificate exempts the organization’s purchases and sales which are not subject to federal
income tax.
Signature
Date
*
Please attach a copy of the letter from the Internal Revenue Service announcing your
classification status as a 501 (c) (3) or a 501 (c) (4).
FOR OFFICE USE ONLY
Certificate Number
Date
Joan Roomsburg
Sales Tax Administrator

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