Application For Retail Sales Tax Exemption Certificate For Livestock Nutrient Management Equipment And Facilities Form

Download a blank fillable Application For Retail Sales Tax Exemption Certificate For Livestock Nutrient Management Equipment And Facilities Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Application For Retail Sales Tax Exemption Certificate For Livestock Nutrient Management Equipment And Facilities Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Reset This Form
Application for Retail Sales Tax Exemption Certificate for
Livestock Nutrient Management Equipment & Facilities
Unified Business Identifier (UBI) Tax Registration Number (if applicable)
Federal Employer Identification Number (FEIN) (if applicable)
Type of Entity:  Individual  Corporation  Sole Proprietor  Partnership  Other (Explain) ______________
Applicant Name
Farm/Feeding Operation Name
Farm/Feeding Operation Address
City
State
Zip Code
Mailing Address (if different)
City
State
Zip Code
Phone Number
E-mail Address
I, the undersigned applicant, certify (check one):
I am licensed to produce milk under chapter 15.36 RCW and have a certified dairy nutrient management plan.
My Milk Producer License number is:
Date Dairy Nutrient Management Plan approved:
I own an animal feeding operation and have a permit issued under chapter 90.48 RCW
State Waste Discharge and/or National Pollutant Discharge Permit number: _____________________
Date State Waste Discharge and/or National Pollutant Discharge Permit issued:
I own an animal feeding operation and have a nutrient management plan approved by a conservation
district as meeting natural resource conservation service field office technical standards guidelines, and I
possess an Exemption Certificate for Replacement Parts and/or Services for Farm Machinery and
Equipment issued by the Department of Revenue under RCW 82.08.855.
Date Nutrient Management Plan approved:
Name of Approving Conservation District:
Exemption Certificate for Replacement Parts and/or Services for Farm Machinery and Equipment
number:
I, the undersigned applicant, understand that the sales and use tax exemption is limited to purchases:
Of qualifying equipment and services as explained on pages two and three of this application; and
Made after a livestock nutrient management plan is certified under chapter 90.64 RCW, approved as part
of the permit issued under chapter 90.48 RCW, or is approved by a conservation district as meeting
natural resource conservation service field office technical guide standards.
Applicant Name
Title
Applicant Signature
Date
Send completed application to:
Department of Revenue
Taxpayer Account Administration
PO Box 47476
Olympia, WA 98504-7476
Keep a copy of this application for your records
Print This Form
1
REV 40 2421 (2/13/13)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 3