Form St-R-22 - Application For Sale/use Tax Exemption Certificate For An Incorporated Non-Stock Educational Institution

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S 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 NON-STOCK EDUCATIONAL INSTITUTION
Name of Corporation
_______________________________________________________
Name of School
_______________________________________________________
Physical Location
_______________________________________________________
Mailing Address
_______________________________________________________
_______________________________________________________
_______________________________________________________
The statute reads,
"Schools" means incorporated non-stock education institutions, including institutions empowered to
confer educational, literary or academic degrees, which have a regular faculty, curriculum and organized body of pupils or
students in attendance throughout the usual school year, which keep and furnish to students and others records required
and accepted for entrance to schools of secondary, collegiate or graduate rank, no part of the net earnings of which inures to
the benefit of any individual. PL 1987,c. 343, §4 (amd)
.
Is the school incorporated? Yes ___ No ___
Send a copy of the articles of incorporation
Has the school 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 Copy of the IRS determination letter indicating 501(c) nonprofit status
I hereby certify that ______________________________________________________ is an incorporated non-
stock educational institution. I therefore request that a sales/use tax exemption certificate be issued to the above
organization pursuant to Title 36 MRSA 1760 (16).
Date:
Signature: __________________________________________
Tel.
Print Name: _________________________________________
Fed ID:
Title: ______________________________________________
Date Facility Opened: _________________________________
ST-R-22
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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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