Form St-R-27 - Application For Sale/use Tax Exemption Certificate For An Incorporated Nonprofit Animal Shelters
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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 AN INCORPORATED NONPROFIT ANIMAL SHELTERS
Name of Corporation
_______________________________________________________
Name of Animal Shelter
_______________________________________________________
Physical Location
_______________________________________________________
Mailing Address
_______________________________________________________
_______________________________________________________
_______________________________________________________
The statute reads,
"Sales to incorporated nonprofit animal shelters. Sales to incorporated nonprofit animal shelters of tangible personal
property used in the operation and maintenance of those shelters or in the maintenance and care of any animal, including wildlife, housed in
those shelters. PL 1997, c. 545, §1 (amd)."
Is the animal shelter incorporated? Yes ___ No ___
Send a copy of the articles of incorporation
Has the animal shelter 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. Please forward any publications issued by your organization which would provide details regarding purpose,
mission and/or services offered, if applicable.
I hereby certify that ______________________________________________________ is an incorporated
nonprofit animal shelter. I therefore request that a sales/use tax exemption certificate be issued to the above
organization pursuant to Title 36 MRSA 1760 (60).
Date:
Signature: ___________________________________________
Tel:
Print Signature: _______________________________________
Fed ID# ______________________
Title: _______________________________________________
Date Facility Opened: __________________________________
ST-R-27
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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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