Form St-90 - Application For Manufacturers Or Processors Sales Tax Exemption Certificate Number

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KANSAS DEPARTMENT OF REVENUE
DIVISION OF TAXATION
TOPEKA, KANSAS 66625
Application for Manufacturers or Processors Sales Tax Exemption Certificate Number
1.
Name of Business
FEIN
2.
Business Location
(Number and Street)
(City or Town)
(State)
(Zip Code)
3.
Mailing Address
(Number and Street)
(City or Town)
(State)
(Zip Code)
4.
Telephone Number (
)
❑
❑
❑
❑
5.
Type of Ownership:
Individual
Corporation
Partnership
Other
6.
List all owner(s), partners or officer(s):
Name
Home Address
Telephone
Position
SSN
1
2
3
7.
Date business started: Month
Day
Year
8.
Product(s) Manufactured
9.
Items to be purchased that will become an ingredient or component part of the finished product
❑
❑
10. Are all of your sales for resale?
Yes
No
❑
❑
11. Do you make sales to the ultimate user or consumer?
Yes
No
If yes, enter your sales tax registration number
Date
Signature
Name
(Please print or type)
Title
ST-90
(Rev. 9/04)

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