Form Ex-A1 - Application For Sales Tax Certificate Of Exemption

Download a blank fillable Form Ex-A1 - Application For Sales Tax Certificate Of Exemption in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Ex-A1 - Application For Sales Tax Certificate Of Exemption with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

A
D
R
LABAMA
EPARTMENT OF
EVENUE
ST: EX-A1
S
U
T
D
8/16
ALES AND
SE
AX
IVISION
Application for Sales Tax Certificate of Exemption
Reset
An Alabama Sales Tax Certificate of Exemption shall be used by persons, firms, or corporations coming under the provi-
sions of the Alabama Sales Tax Act who are not required to have a Sales Tax License.
PLEASE COMPLETE EACH LINE APPLICABLE TO YOUR BUSINESS. A SALES TAX CERTIFICATE OF EXEMP-
TION WILL NOT BE ISSUED UNTIL THIS APPLICATION IS PROPERLY COMPLETED.
1. Federal Employer Identification Number (FEIN) _______________________ 2. Business Telephone (______)_____________
3. ___________________________________________________________________________________________________________
NAME OF PERSON(S), FIRM, CORPORATION, ASSOCIATION, CO-PARTNERSHIP MAKING APPLICATION.
___________________________________________________________________________________________________________
GIVE TRADE NAME
4. Mailing address of home office________________________________________________________________________________
P. O. BOX OR STREET NO. OR R.F.D.
___________________________________________________________________________________________________________
CITY
COUNTY
STATE
ZIP CODE
5. Number of businesses in Alabama __________ Location __________________________________________________________
CITY
STREET AND NO. OF HWY.
COUNTY
Location must be exact street number or, if on highway or rural route, give details of location. If more than one location,
please attach schedule._______________________________________________________________________________________
6. Would you like to receive a courtesy email notification to renew your certificate?
No
Yes ____________________________________________________________________________________________
7. Kind and Class of Business ___________________________________________________________________________________
(NON-PROFIT, WHOLESALER, MANUFACTURER, ETC.)
8. Type Product Manufactured and/or sold _______________________________________________________________________
9. REASON EXEMPTION CLAIMED___________________________________________________________________________
10. Form of ownership:
Individual
Partnership
Corporation
Multi member LLC
Single member LLC
Statutorily Exempt Organization
If applicant is a corporation, a copy of the certified certificate of incorporation, amended certificate of incorporation,
certificate of authority, or articles of incorporation should be attached. If the applicant is a limited liability company or a
limited liability partnership, a copy of the certified articles of organization should be attached.
11. Ownership information (please attach):
Corporations – give name, title, home address, and Social Security Number of each officer.
Partnerships – give name, home address, Social Security Number or FEIN of each partner, and valid Alabama driver’s
license or other acceptable citizenship documentation.
Sole Proprietorships – give name, home address, Social Security Number of owner, and valid Alabama driver’s license or
other acceptable citizenship documentation.
LLC – give name, home address, and Social Security Number or FEIN of each member. (Valid Alabama driver’s license
or other acceptable citizenship documentation is required for single member LLCs.)
LLP – give name, home address, and Social Security Number or FEIN of each partner.
Statutorily Exempt Organization – give FEIN, list of board members. (CEO, CFO, or Executive Director may sign.)
Signed _______________________________________________
Signed _______________________________________________
Title __________________________ Date __________________
Title __________________________ Date __________________
MAIL ORIGINAL APPLICATION TO THE TAXPAYER SERVICE CENTER
LISTED ON PAGE THREE THAT SERVES THE COUNTY IN WHICH YOU ARE LOCATED.
REVENUE DEPARTMENT USE ONLY
Examiner’s Remarks ____________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Examiner _____________________________________ Date ___________________
Supervisor’s Recommendation ___________________________________________________________________________________
_______________________________________________________________________________________________________________
Supervisor _____________________________________ Date ___________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go