Form 51a241 - Registration For The Kentucky Sales And Use Tax Refund For Motion Picture And Television Production Companies

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51A241 (5-07)
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
Registration for the Kentucky Sales and Use Tax Refund
for Motion Picture and Television Production Companies
Title of production _________________________________________________________________________________
Name of production company ________________________________________________________________________
Permanent address ________________________________________________________________________________
(
)
City
___________________
State
___________ ZIP Code ___________
Phone
________________________
Kentucky production office address ____________________________________________________________________
(
)
KY
City
___________________
State
___________ ZIP Code ___________
Phone
________________________
Individual maintaining expenditure records ______________________________________________________________
This production is a (check appropriate category) :
Feature-length motion picture intended for:
(a) theatrical release or
(b) exhibition on national television by a network or through national syndication.
Television program which will serve as a pilot for or be a segment of an ongoing dramatic or situation comedy series
televised on a network or through national syndication.
Other (please explain) :
Anticipated production dates in Kentucky _____________________________ to _____________________________
Estimated expenditures in Kentucky ___________________________________________________________________
Kentucky financial institution on which qualified checks will be drawn:
Address _________________________________________________________________________________________
KY
City
_________________________________
State __________________
ZIP Code _____________________
I, the undersigned, have reviewed and understand KRS 139.538–139.5386 in regard to the Kentucky Sales and Use Tax
motion picture refund process. To the best of my knowledge and belief, the statements contained on this registration are
complete and accurate, and I am duly authorized to sign this registration.
Signed
____________________________________
Title _____________________________________________
Date _______________________________________
Return to Department of Revenue, Division of Sales and Use Tax, Frankfort, Kentucky 40620.

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