Form Cert-113 - Purchases Of Tangible Personal Property And Services By Certain Hospitals, Nonprofi T Nursing Homes, Nonprofi T Rest Homes, Or Nonprofi T Residential Care Homes

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Department of Revenue Services
State of Connecticut
25 Sigourney Street
Hartford CT 06106-5032
CERT-113
(Rev. 10/15)
Purchases of Tangible Personal Property and Services by Certain
Hospitals, Nonprofi t Nursing Homes, Nonprofi t Rest Homes, or Nonprofi t
Residential Care Homes
General Purpose: A nonprofit hospital, nonprofit nursing home,
Statutory Authority: Conn. Gen. Stat. §12-412(5) and (94), and
nonprofi t rest home, nonprofi t residential care home, or an acute care
Chapter 368v of the Connecticut General Statutes.
hospital operating in Connecticut as a sole community hospital as described
Instructions for the Purchaser: An offi cer of the qualifying hospital,
in 42 CFR 412.92, must issue CERT-113 to retailers when purchasing
nonprofi t nursing home, nonprofi t rest home, or nonprofi t residential care
tangible personal property or taxable services to be used by the institution
home must issue and sign this certifi cate to advise the seller of tangible
exclusively for the purposes for which it was established.
personal property or taxable services that sales and use taxes do not apply
Hospital is defi ned in Conn. Gen. Stat. §19a-490(b) as an establishment for
to the purchase. Keep a copy of the certifi cate, the documents attached,
the lodging, care, and treatment of persons suffering from disease or other
and records that substantiate the information entered on this certifi cate for
abnormal physical or mental conditions and includes inpatient psychiatric
at least six years from the date this certifi cate is issued.
services in general hospitals. For the purposes of CERT-113, qualifying
The purchaser must attach to this certifi cate a copy of the license issued by
hospital includes any nonprofi t hospital or acute care hospital operating in
the Department of Public Health under Chapter 368v of the Connecticut
Connecticut as a sole community hospital as described in 42 CFR 412.92.
General Statutes.
Under Conn. Gen. Stat. §12-412(5), a nonprofi t hospital, nonprofi t nursing
In addition, a nonprofi t hospital, nonprofi t nursing home, nonprofi t rest
home, nonprofi t rest home, or nonprofi t residential care home is:
home, or nonprofi t residential care home, must attach a copy of the:
• An institution that holds a valid and active license issued by the
• Exemption permit issued to the organization by DRS prior to
Department of Public Health under Conn. Gen. Stat. §19a-491 of
July 1, 2002; or
Chapter 368v; and either
• An institution issued an exemption permit before July 1, 2002, by the
• Determination letter issued by the IRS that establishes the organization
Department of Revenue Services (DRS) that has not been cancelled or
is an exempt organization as described in I.R.C. §501(c)(3) or (4).
revoked by DRS; or
Instructions for the Seller: Acceptance of this certifi cate, when properly
• An institution that is exempt from federal income tax under I.R.C.
completed, relieves the seller from the burden of proving that the sale
§501(a) and has been issued a determination letter by the Internal
and storage, use, or other consumption, of the tangible personal property
Revenue Service (IRS) as an organization described in I.R.C. §501(c)
or taxable services are not subject to sales and use taxes. The certifi cate
(3) or (4), and that has not been revoked by IRS.
is valid only if taken in good faith from a qualifying hospital, nonprofi t
Nursing home, rest home, and residential care home are defi ned in
nursing home, nonprofi t rest home, or nonprofi t residential care home. For
Conn. Gen. Stat. §19a-490(c) as an establishment that furnishes, in single
example, the good faith of the seller will be questioned if the seller knows
or multiple facilities, food and shelter to two or more persons unrelated to
of facts that suggest the purchaser is not a qualifying hospital, nonprofi t
the proprietor and in addition, provides services that meet a need beyond
nursing home, nonprofi t rest home, or nonprofi t residential care home.
the basic provisions of food, shelter, and laundry.
Keep this certifi cate, the documents attached, and bills or invoices to the
A nonprofi t hospital, nonprofi t nursing home, nonprofi t rest home, or
purchaser for at least six years from the date the items or services were
nonprofi t residential care home that is not, and is not required to be,
purchased. The bills, invoices, or records covering the purchases made
registered as a retailer with DRS may use this certifi cate to purchase any
under this certifi cate must be marked “Exempt Under CERT-113” to
tangible personal property for resale at one of the fi ve fundraising or social
indicate that the purchases were exempt.
events of a day’s duration during any calendar year. The event must be
This certifi cate may be used for a single exempt purchase, in which case
exempt from tax under Conn. Gen. Stat. §12-412(94). Otherwise, these
the box marked “One Purchase Only” must be checked. This certifi cate
nonprofi t institutions may not purchase tangible personal property for
may also be used for a continuing line of exempt purchases, in which event
resale with this certifi cate.
the purchaser must check the box marked “Blanket Certifi cate.” A blanket
This certifi cate may not be used for purchases of taxable services for resale.
certifi cate remains in effect from the date CERT-113 is issued until the
This certifi cate may not be used for the purchase of meals or lodging,
date the institution’s license with the Department of Public Health expires,
unless a nonprofi t hospital, nonprofi t nursing home, nonprofi t rest home,
unless the purchaser revokes CERT-113 in writing before the date the
or nonprofi t residential care home that is not, and is not required to be,
license with the Department of Public Health expires.
registered as a retailer with DRS is purchasing meals for resale at one of
A qualifying hospital, nonprofi t nursing home, nonprofi t rest home, or
the fi ve fundraising or social events per year that is exempt from tax under
nonprofi t residential care home must pay for its exempt purchases by a
Conn. Gen. Stat. §12-412(94). (See Special Notice 98(11), Exemption From
check drawn on its checking account or by a credit card issued in its name
Sales and Use Taxes of Sales by Nonprofi t Organizations at Fundraising
(and not in the name of any of its members or offi cers). A qualifying
or Social Events or Informational Publication 2002(11), Nonprofi t
hospital, nonprofit nursing home, nonprofit rest home, or nonprofit
Hospitals, Nonprofi t Nursing Homes, Nonprofi t Rest Homes, and Nonprofi t
residential care home may make a purchase of $10 or less using cash from
Residential Care Homes.)
the institution’s own funds. However, a blanket CERT-113 may not be
If the purchaser is not a qualifying hospital, nonprofi t nursing home,
used for a cash purchase, and a properly completed CERT-113, with the
nonprofi t rest home, or nonprofi t residential care home or does not use the
appropriate documents attached, must be issued to the retailer at the time
property or services purchased exclusively for the purposes for which the
of each cash purchase.
institution was established, the purchaser owes use tax on the total purchase
price of the property or services.

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