Contractor'S Exemption Certificate - Ohio Department Of Taxation

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S
O
TATE OF
HIO
D
T
EPARTMENT OF
AXATION
C
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E
C
ONTRACTOR
S
XEMPTION
ERTIFICATE
Identification of Contract:
Contractee's (Owner's) name ______________________________________________________________________
Exact location of job/project _____________________________________________________________________
Name of job/project as it
appears on contract documentation ________________________________________________________________
The undersigned hereby certifies that the tangible personal property purchased under this certificate of exemption from:
____________________________________________________________________________________________________
vendor's name
was purchased for incorporation into:
real property under a construction contract with the United States government, its agencies, the State
of Ohio, or an Ohio political subdivision;
real property which is owned, or will be accepted for ownership at the time of completion, by the
United States government, its agencies, the State of Ohio, or an Ohio political subdivision;
a house of public worship or religious education;
a building used exclusively for charitable purposes by a nonprofit organization operated exclusively
for charitable purposes as defined in section 5739.02(B)(12) of the Revised Code;
the original construction of a sports facility under section 307.696 of the Revised Code;
a hospital facility entitled to exemption under section 140.08 of the Revised Code.
This certificate may be used by a contractor or subcontractor when buying materials for a construction contract where the
owner/contractee has claimed one of the above exemptions. This certificate covers all sales of materials by the above-named
vendor to the contractor or subcontractor for this particular contruction contract only.
Contractor/Subcontractor
Name _________________________________________
Signed by ______________________________________
Title __________________________________________
Address _______________________________________
City, State, Zip __________________________________
Date __________________________________________

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