Form St-R-25 - Application For Sale/use Tax Exemption Certificate For An Incorporated International Nonprofit Organization That Loans Medical Supplies And Equipment To Persons
ADVERTISEMENT
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 INTERNATIONAL NONPROFIT ORGANIZATION THAT LOANS
MEDICAL SUPPLIES AND EQUIPMENT TO PERSONS
Name of Corporation
_______________________________________________________
Name of Organization
Physical Location
_______________________________________________________
Mailing Address
_______________________________________________________
_______________________________________________________
_______________________________________________________
The statute reads, "Charitable suppliers of medical equipment. Sales to local branches of incorporated
international nonprofit charitable organizations which provide, on a loan basis and free of charge, medical
supplies and equipment to persons. PL 1989, c. 502, Pt. A, §129 (rpr)."
Is the organization incorporated? Yes ___ No ___
Send a copy of the articles of incorporation
Has the 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 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
I hereby certify that ______________________________________________________ is an incorporated
international nonprofit organization. I therefore request that a sales/use tax exemption certificate be issued to
the above organization pursuant to Title 36 MRSA 1760 (62).
Date:
Signature: ___________________________________________
Tel:
Print Name: _________________________________________
Fed ID# _______________________
Title: ______________________________________________
Date Facility Opened: _________________________________
ST-R-25
P
RINTED ON RECYCLED PAPER
F
: ( 2 0 7 ) 2 8 7 - 6 6 2 8
A X
( 2 0 7 ) 2 8 7 - 4 4 7 7 ( H
I
)
P
: ( 2 0 7 ) 6 2 4 - 9 6 9 3
E A R I N G
M P A I R E D
H O N E
E-mail:
sales.tax@state.me.us
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form St-r-25 - Exemption Application An Incorporated Nonprofit Organization That Loans Medical Supplies And Equipment To Persons
Legal
Form St-r-42 - Application For Sale/use Tax Exemption Certificate For An Incorporated Nonprofit Statewide Organization That Advocate For Children And That Are Members Of The Medicaid Advisory Committee
Financial
Form St-r-30 - Application For Sale/use Tax Exemption Certificate For An Incorporated Nonprofit Organization Providing Certain Services For Hearing-impaired Persons
Financial
Form St-r-43 - Application For Sale/use Tax Exemption Certificate For An Incorporated Nonprofit Organization Or Their Affiliates Whose Purpose Is To Provide Free Clinical Assistance To Children With Dyslexia
Financial
Form St-r-41 - Application For Sale/use Tax Exemption Certificate For An Incorporated Nonprofit Organization Or Their Affiliates Whose Purpose Is To Provide Literacy Assistance
Financial
Form St-r-18 - Application For Sale/use Tax Exemption Certificate Incorporated Nonprofit Memorial Foundations Or An Incorporated Nonprofit Historical Society Or An Incorporated Nonprofit Museum
Financial
Form St-r-17 - Application For Sale/use Tax Exemption Certificate For An Incorporated Nonprofit Emergency Shelter And Feeding Organizations
Legal
Form St-r-05 - Application For Sale/use Tax Exemption Certificate For An Incorporated Nonprofit Home Construction Organization Constructing Low-cost Housing For Low-income People
Legal
Related Categories
Parent category: Legal