Looking for a Maine Legal Forms And Templates? Download it for free!

Form St-R-30 - Incorporated Nonprofit Organization Providing Services For Hearing-Impaired Persons (2005)

MAINE REVENUE SERVICES

SALES, FUEL & SPECIAL TAX DIVISION

EXEMPTION APPLICATION

INCORPORATED NONPROFIT ORGANIZATION PROVIDING CERTAIN

SERVICES FOR HEARING-IMPAIRED PERSONS

Name of Corporation _______________________________________________________

Name of Organization _______________________________________________________

Physical Location

_______________________________________________________

Mailing Address

_______________________________________________________

The statute reads, "Organizations providing certain services for hearing-impaired

persons. Sales to incorporated nonprofit organizations whose primary purposes are to

promote public understanding of hearing impairment and to assist hearing-impaired

persons through the dissemination of information about hearing impairment to the

general public and referral to and coordination of community resources available to

hearing impaired persons. PL 1989, c. 533, §8 (new); c, 871, §14 (amd).

Is the organization incorporated? Yes ___ No ___

Has the organization received 501(c) nonprofit status from the IRS? Yes ___ No ___

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 IRS determination letter indicating 501(c) nonprofit status

3. Please forward any publications issued by your organization which would provide details regarding purpose,

mission and/or services offered, if applicable.

Note: All information contained on this application is subject to VERIFICATION by Maine Revenue Services.

Maine Revenue Services may request additional information or documentation necessary to determine eligibility.

I hereby certify that ______________________________________________________ is an incorporated nonprofit

organization providing services for hearing-impaired persons. I therefore request that a sales/use tax exemption

certificate be issued to the above organization pursuant to Title 36 MRSA 1760 (70).

Date:

Signature: ______________________________

Tel:

Print Name:_____________________________

Fed ID:

Title: __________________________________

Date Facility Opened: _____________________

ST-R-30 (Rev 10/05)

Phone: (207) 624-9693

TDD: (888) 577-6690

Fax: (207) 287-6628

E-mail: salestax@maine.gov

Form St-R-30 - Incorporated Nonprofit Organization Providing Services For Hearing-Impaired Persons (2005)