Form St-R-26 - Application For Sale/use Tax Exemption Certificate For Any Nonprofit Free Public Lending Library
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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 ANY NONPROFIT FREE PUBLIC LENDING LIBRARY
Name of Corporation
_______________________________________________________
Name of Library
_______________________________________________________
Physical Location
_______________________________________________________
Mailing Address
_______________________________________________________
_______________________________________________________
_______________________________________________________
The statute reads, "Certain libraries. Sales to any nonprofit free public lending library which is funded in part or
wholly by the State or any political subdivision or the federal government. PL 1983, c. 859, Pt. M, §§6 & 13
(new)."
Has the library 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 IRS determination letter indicating 501(c) nonprofit status
2. Pertinent information declaring the purpose of the organization
PLEASE ANSWER THE FOLLOWING QUESTIONS:
1. What was your total operating budget for your last fiscal year?
2. List governmental agencies from which you received funding during the last fiscal year, and the amount of
each.
I hereby certify that ______________________________________________________ is a nonprofit free
public lending library. I therefore request that a sales/use tax exemption certificate be issued to the above
organization pursuant to Title 36 MRSA 1760 (50).
Date:
Signature: ___________________________________________
Tel:
Print Name: __________________________________________
Fed ID#_______________________
Title: _______________________________________________
Date Facility Opened: __________________________________
ST-R-26
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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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