Form St-13 - Contractor'S Exempt Purchase Certificate (2013)

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State of New Jersey
ST-13
(10-16, R-13)
DIVISION OF TAXATION
SALES TAX
CONTRACTOR’S NEW JERSEY TAX
REGISTRATION NUMBER*
To be completed by contractor and
FORM ST-13
retained by seller.
CONTRACTOR’S EXEMPT PURCHASE CERTIFICATE
TO: ________________________________________________________________________________ __________________________
(Name of Seller)
(Date)
_______________________________________________________________________________________________________________
(Address of Seller)
_______________________________________________________________________________________________________________
The materials, supplies, or services purchased by the undersigned are for exclusive use in erecting structures, or building
on, or otherwise improving, altering, or repairing real property of an exempt organization, governmental entity, or qualified
housing sponsor and are exempt from Sales and Use Tax under N.J.S.A. 54:32B-8.22. For purposes of this exemption,
“exclusive use” means that the supplies and materials purchased will be entirely used or consumed on the job contracted
for by the exempt organization, governmental entity, or qualified housing sponsor named below.
*
THE EXEMPTION APPLIES AS LONG AS THE PROPERTY IS OWNED (OR LEASED) BY:
(Check one)
¨
EXEMPT ORGANIZATION
Name of Exempt Organization . . . . . . . . ________________________________________________________
Address . . . . . . . . . . . . . . . . . . . . . . . . . . ________________________________________________________
Exempt Organization Number . . . . . . . . . ________________________________________________________
¨
NEW JERSEY OR FEDERAL GOVERNMENTAL ENTITY
Name of Governmental Entity . . . . . . . . . ________________________________________________________
Address of Governmental Entity . . . . . . . ________________________________________________________
¨
QUALIFIED HOUSING SPONSOR
Name of Qualified Housing Sponsor . . . . ________________________________________________________
Address of Qualified Housing Sponsor . . ________________________________________________________
ADDRESS OR LOCATION OF CONTRACT WORK SITE: (property must be owned or leased by one of the above)
______________________________________________________________________________________________
I, the undersigned contractor, hereby verify and affirm that all of the information shown on this certificate is true.
_____________________________________________________________________________________
Name of Contractor as registered with the New Jersey Division of Taxation*
_____________________________________________________________________________________
Address of Contractor*
_____________________________________________________________________________________
Signature of Contractor or Authorized Employee*
See INSTRUCTIONS on reverse side.
MAY BE REPRODUCED
*Required
(Front & Back Required)

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