Form St-19 - Operator Certificate Of Compliance printable pdf download

Form St-19 - Operator Certificate Of Compliance

MINNESOTA Department of Revenue

Sales and use tax

Operator Certificate of Compliance

ST-19

Read the information on the back before completing this certificate.

Person selling at event: Complete this certificate and give it to the operator/organizer of the event.

Operator/organizer of event: Keep this certificate for your records.

Do not send this form to the Department of Revenue.

Name of business selling or exhibiting at event

Minnesota tax ID number

Seller’s complete address

City

State

Zip code

Name of person or group organizing event

Name and location of event

Date(s) of event

Describe the type of merchandise you plan to sell.

Complete this section if you are not required to have a Minnesota tax ID number.

I am selling only nontaxable items.

I am not making any sales at the event.

(name of company), and the home

I participate in a direct selling plan, selling for

office or top distributor has a Minnesota tax ID number and remits the sales tax on my behalf.

This is a nonprofit organization that meets the exemption requirements described below:

Candy sold for fund-raising purposes by a nonprofit organization that provides educational and social activities for

young people primarily aged 18 and under (MS 297A.25, subd. 2[1]).

Youth or senior citizen group with fund-raising receipts of $10,000 or less per year

(MS 297A.256, subd. 1[a] and [b]).

A nonprofit organization that meets all the criteria set forth in MS 297A.256, subd. 1(c) (see reverse side).

I declare that the information on this certificate is true and correct to the best of my knowledge and belief and that I am

authorized to sign this form.

Signature of seller

Print name here

Date

Daytime phone

(

)

PENALTY — Operators who do not have Form ST-19 or a similar written document from sellers can be fined a penalty

of $100 for each seller that is not in compliance for each day of the selling event.

Stock No. 2100190

(Rev. 6/00)

Form St-19 - Operator Certificate Of Compliance