Form 1746 Draft - Missouri Sales/use Tax Exemption Application 2010

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MISSOURI DEPARTMENT OF REVENUE
TAXATION DIVISION
FORM
P.O. BOX 358
1746
JEFFERSON CITY, MISSOURI 65105-0358
MISSOURI SALES/USE TAX
(REV. 11-2010)
EXEMPTION APPLICATION
MAIL COMPLETED APPLICATION TO:
MISSOURI DEPARTMENT OF REVENUE
TAXATION DIVISION
P.O. BOX 358, JEFFERSON CITY, MISSOURI 65105-0358
(573) 751-2836
TDD 1-800-735-2966
FAX: (573) 751-9409
E-mail: salestaxexemptions@dor.mo.gov
CODE (DOR ONLY)
1. IF YOU HAVE EVER BEEN ISSUED A MISSOURI TAX I.D. NUMBER BY THE DEPARTMENT OF REVENUE, ENTER BELOW
FEIN
TYPE OF EXEMPTION
2. QUALIFYING FOR EXEMPTION AS: (CHECK ONE)
CHARITABLE (Benefits the common good and welfare of the community, not
PUBLIC ELEMENTARY OR SECONDARY EDUCATION
only within the organization, while relieving government of a financial burden
PRIVATE NOT-FOR-PROFIT ELEMENTARY AND SECONDARY
that it would be otherwise required to meet)
EDUCATION (Must have received accreditation)
RELIGIOUS (Churches, ministries, and religious groups. Exemption applies
HIGHER EDUCATION (Must have received accreditation)
to sales and purchases only if within the organization’s religious, charitable,
or educational functions)
MISSOURI POLITICAL SUBDIVISION (Out-of-state political subdivisions
NOT-FOR-PROFIT CIVIC (Benefiting the citizenry at large on an unrestricted
do not qualify)
basis. Exemption applies only if the sale or purchase is made for the
FEDERAL OR MISSOURI STATE AGENCY
organization’s civic or charitable functions and activities)
MISSOURI COOPERATIVE MARKETING ASSOCIATION (Exemption
NOT-FOR-PROFIT SOCIAL, SERVICE, FRATERNAL (Exemption applies
applies to purchases and only exempts state sales tax. All purchases
only if the sale or purchase is made for the organization’s civic or charitable
remain subject to local sales tax and all use taxes)
functions and activities, and not for general operations of the organization)
NOTE: Unions, political organizations, and home owner associations do not qualify for a Missouri sales/use tax exemption.
ORGANIZATION NAME AND LOCATION
3. ORGANIZATION NAME
STREET ADDRESS — DO NOT USE P.O. BOX OR RURAL ROUTE
PHONE
(__ __ __) __ __ __ - __ __ __ __
CITY
STATE
ZIP CODE
COUNTY
__ __ __ __ __
WEB SITE ADDRESS
E-MAIL ADDRESS
IS YOUR ORGANIZATION EXEMPT FROM PROPERTY TAX?
YES
NO
DATE ORGANIZATION ORIGINATED:
INCORPORATED ORGANIZATIONS
M
M
D
D
Y
Y
Y
Y
MISSOURI CHARTER NUMBER
DATE INCORPORATED
MISSOURI CORPORATION
__ __ __ __ __ __ __ __ __ __
MISSOURI CERTIFICATE OF AUTHORITY NO.
DATE REGISTERED IN MISSOURI
STATE OF INCORPORATION
M
M
D
D
Y
Y
Y
Y
OUT-OF-STATE CORPORATION
MAILING ADDRESS
4. MAILING ADDRESS (IF DIFFERENT THAN ORGANIZATION ADDRESS)
STREET ADDRESS OR P.O. BOX
CITY
STATE
ZIP CODE
COUNTY
__ __ __ __ __
RECORD STORAGE
5. RECORD STORAGE ADDRESS (PLEASE DO NOT USE P.O. BOX OR RURAL ROUTE)
STREET ADDRESS — DO NOT USE P.O. BOX OR RURAL ROUTE
CITY
STATE
ZIP CODE
COUNTY
__ __ __ __ __
PLEASE COMPLETE AND SIGN BACK OF APPLICATION
MO 860-2158 (11-2010)
DOR-1746 (11-2010)

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