Form St-13 - Commonwealth Of Virginia Sales And Use Tax Certificate Of Exemption
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1
2Form ST-13
COMMONWEALTH OF VIRGINIA
SALES AND USE TAX CERTIFICATE OF EXEMPTION
To:________________________________________________________________Date:_ _________________________ _
_
Name_of_Dealer
________________________________________________________________________________________________
_
Number_and_Street_or_Rural_Route_
City,_Town_or_Post_Office__
State__
Zip_Code
The_Virginia_Sales_and_Use_Tax_Act_provides_that_the_Virginia_sales_and_use_tax_shall_not_apply_to_the_medical-related_kinds_
and_classes_of_tangible_personal_shown_in_Items_1_through_7_below_when_purchased_for_the_specific_purposes_set_out_in_
Items_1_through_7.
The_undersigned_purchaser_hereby_certifies_that_all_tangible_personal_property_purchased_or_leased_from_the_above_named_
supplier_on_and_after_this_date_will_be_purchased_or_leased_for_the_purpose_indicated_below,_unless_otherwise_specified_on_
each_order,_and_that_this_Certificate_shall_remain_in_effect_until_revoked_ in_writing_by_the_Department_ of_Taxation._ Check_
proper_box_below.
Medical-Related Exemptions:
1.__
c__
Medicines,_drugs,_hypodermic_syringes,_artificial_eyes,_contact_lenses,_eyeglasses,_eyeglass_cases_and_contact_
lens_ storage_ containers_ when_ distributed_ free_ of_ charge,_ all_ solutions_ or_ sterilization_ kits_ or_ other_ devices_
applicable_to_the_wearing_or_maintenance_of_contact_lenses_or_eyeglasses_when_distributed_free_of_charge,_and_
hearing_aids_dispensed_by_or_sold_on_prescriptions_or_work_orders_of_licensed_physicians,_dentists,_optometrists,_
ophthalmologists,_ opticians,_ audiologists,_ hearing_ aid_ dealers_ and_ fitters,_ nurse_ practitioners,_ physician_
assistants,_and_veterinarians.
2._
c__
Controlled_drugs_purchased_for_use_by_a_licensed_physician,_optometrist,_licensed_nurse_practitioner,_or_licensed_
physician_ assistant_ in_ his_ or_ her_ professional_ practice,_ regardless_ of_ whether_ such_ practice_ is_ organized_ as_
a_ sole_ proprietorship,_ partnership_ or_ professional_ corporation,_ or_ any_ other_ type_ of_ corporation_ in_ which_ the_
shareholders_and_operators_are_all_licensed_physicians,_optometrists,_licensed_nurse_practitioners,_or_licensed_
physician_ assistants_ engaged_ in_ the_ practice_ of_ medicine,_ optometry,_ or_ nursing,_ or_ medicines_ and_ drugs_
purchased_for_use_or_consumption_by_a_licensed_hospital,_nursing_home,_clinic,_or_similar_corporation.
3._
Medicines_and_drugs_purchased_for_use_or_consumption_by_a_licensed_hospital;_and_samples_of_prescription_
c__
drugs_and_medicines_and_their_packaging_distributed_free_of_charge_to_authorized_recipients_in_accordance_with_
the_Federal_Food,_Drug_and_Cosmetic_Act_(21_U.S.C.A._§301_et_seq.,_as_amended).
4.
c_
Wheelchairs_and_parts_therefor,_braces,_crutches,_prosthetic_devices,_orthopedic_appliances,_catheters,_urinary_
accessories,_other_durable_medical_equipment_and_devices,_and_related_parts_and_supplies_specifically_designed_
for_those_products;_and_insulin_and_insulin_syringes,_and_equipment,_devices_or_chemical_reagents_which_may_
be_used_by_a_diabetic_to_test_or_monitor_blood_or_urine,_when_such_items_or_parts_are_purchased_by_or_on_behalf_
of_an_individual_for_use_by_such_individual._Durable_medical_equipment_is_equipment_which_(i)_can_withstand_
repeated_use,_(ii)_is_primarily_and_customarily_used_to_serve_a_medical_purpose,_(iii)_generally_is_not_useful_to_a_
person_in_the_absence_of_illness_or_injury,_and_(iv)_is_appropriate_for_use_in_the_home.
* * * * * * Additional Exemptions are continued on the reverse side of this certificate. * * * * * *
NOTE: THIS CERTIFICATE OF EXEMPTION WILL NOT BE VALID, UNLESS THE BACK OF THIS
FORM IS COMPLETED AND SIGNED BY THE PURCHASER.
Va_Dept._of_Taxation_ST-13_6201060_
REV_09/15
Page_1
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