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Page 4 of 4 ST-140 (2012)

Part 2 — All other taxable items and services

List all other taxable items and services and taxable clothing and footwear not included in Part 1 on which no New York State or local tax was

collected from you at the time of purchase, or on which you owe additional local tax (see instructions). Shipping and handling charges must be

included in column A when computing your tax due. Attach additional sheets if necessary. If any item or service purchased cost $25,000 or more

each, excluding shipping and handling, you must also complete Form IT-135, Sales and Use Tax Report for Purchases of Items and Services Costing

$25,000 or More, and attach it to this form.

Note: Any unpaid sales or use tax on a motor vehicle, trailer, all-terrain vehicle, vessel, or snowmobile that must be registered or titled by the

New York State Department of Motor Vehicles is collected at the time of registration. Therefore, do not report or pay the sales or use tax on these

items on this form.

Purchase price

Combined state

Tax

Tax paid to another

Tax due

and local rate

taxing jurisdiction, if any

(see instructions)

(multiply column A

(subtract column D from column C;

(from Chart 1;

by column B)

(see instructions)

do not enter less than zero)

see instructions)

2 Total

...................................................................

(add the Part 2, column E amounts; do not enter less than zero)

3 Add lines 1 and 2; transfer this amount to the Computation of total sales or use tax due

section, line 3 on page 1 of this form ...............................................................................................................

Certification: I certify that the above statements are true and correct, and I make these statements with the knowledge that willfully filing a false

or fraudulent document with the intent to evade tax may constitute a felony under New York State Tax Law, punishable by a substantial fine and a

possible jail sentence. I also understand that the Tax Department is authorized to investigate the validity or the accuracy of any information entered on

this document.

Purchaser’s signature

Date

Telephone number for purchaser

(

)

Printed name of preparer

Preparer’s PTIN

(if other than purchaser)

Preparer’s address

Preparer’s NYTPRIN

Preparer’s signature