Contractor'S Exempt Purchase Certificate - 1992
ADVERTISEMENT
1STATE OF RHODE ISLAND - DIVISION OF TAXATION
SALES AND USE TAX
CONTRACTOR'S EXEMPT PURCHASE CERTIFICATE
I hereby certify under the penalties of perjury that I am engaged in the
performance of a construction contract on a project for one of the following
named exempt institution or organization, hospital not operated for profit,
educational
institution
not
operated
for
profit,
church,
orphanage,
or
organization operated exclusively for religious or charitable purposes:
____________________________________________________________________________
Name of Institution or Organization
____________________________________________________________________________
Address of Same
That such institution or organization holds Certificate of Exemption number
__________ issued by the Division of Taxation.
OR
That I am engaged in the performance of a construction contract on a project
for an agency of a State Government, or for a city, town, district or other
political subdivision of this State, or any other state of the United States
of America or for an agency or instrumentality of the Federal Government.
____________________________________________________________________________
Name of Institution or Organization
____________________________________________________________________________
Address of Same
That this exemption certificate is issued to cover purchases of materials
and supplies which are essential to the construction project and which are
to
be
utilized
in
the
actual
construction
thereof,
in
accordance
with
Regulation
"C" of the Rhode Island Sales
and
Use Tax Act relating
to
contractors and subcontractors.
I
agree
that
if
the
tangible
personal
property
purchased
under
this
certificate is determined to be taxable, I will pay the tax as provided by
law.
_________________________________By_________________________________________
Name of Firm
Signature
____________________________________________________________________________
Address
Contractor's Permit No._______________ (if any)
Date:______________________
Place________________________________________________
(This Certificate may be reproduced for use by the Contractor)
REV. 1/92
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