Form Str-01 - Sales, Fuel & Special Tax Division Exemption Application (2005) printable pdf download

Form Str-01 - Sales, Fuel & Special Tax Division Exemption Application (2005)

MAINE REVENUE SERVICES

SALES, FUEL & SPECIAL TAX DIVISION

EXEMPTION APPLICATION

NONPROFIT HOUSING DEVELOPMENT ORGANIZATION

DEVELOPING HOUSING FOR LOW-INCOME PEOPLE

Name of Corporation ____________________________________________________

Name of Organization____________________________________________________

Physical Location________________________________________________________

Mailing Address_________________________________________________________

_________________________________________________________

The statute reads, "Nonprofit housing development organization. Sales to

nonprofit organizations for the development of housing for low-income people.

PL 1989, c. 871, §15 (new)."

Has the organization received 501(c) nonprofit status from the IRS? Yes ___

No ___

IN ORDER TO PROCESS THE APPLICATION THE FOLLOWING MUST BE INCLUDED

1. Copy of the IRS determination letter indicating 501

nonprofit status

(c)

2. Copy of the Constitution and/or By Law, which indicates the purpose of organization

3. Please forward any publications issued by your organization which would provide details

regarding purpose, mission and/or services offered, if applicable.

Note: All information contained on this application is subject to VERIFICATION by Maine Revenue Services.

Maine Revenue Services may request additional information or documentation necessary to determine eligibility.

I hereby certify that ______________________________________________________ is a

nonprofit housing development organization. I therefore request that a sales/use tax exemption

certificate be issued to the above organization pursuant to Title 36 MRSA §1760 (72).

Date: ______________________________

Signature:________________________

Tel: _______________________________

Printed Name:_____________________

Fed ID: ____________________________

Title: _____________________________

STR-01 (Rev 10/05)

Phone: (207) 624-9693

TDD: (888)577-6690

Fax: (207) 287-6628

E-mail: salestax@maine.gov

Form Str-01 - Sales, Fuel & Special Tax Division Exemption Application (2005)