Form St-5 - Sales Tax Exempt Purchaser Certificate Filing Example - Massachusetts Department Of Revenue

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Massachusetts General Laws, Chapter 64H, Section 6(e), as amended by
Chapter 233 of the Acts of 1983, states as follows:
"The certificate of exemption issued by the commissioner under
clause (2) shall be effective for a period of five years from the date
of its issuance ... provided that ninety days prior to said date the
commissioner shall notify such corporation, foundation, organization
or institution of the expiration date of said certificate. Such corpo­
ration, foundation, organization or institution must obtain .from the
commissioner a mm;wal of such certificate in order to be entitled
to a continuance
o!
such exemption beyond the expiration date of
any existing certilicate."
25M 9/00 GC0121
"
.1
Form ST-2
Certificate of Exemption
Massachusetts
Department of
Revenue
Certification is hereby made that the organization herein named is an exempt purchaser under General Laws, Chapter 64H,
sections 6(d) and (e). All purchases of tangible personal property by this organization are exempt from taxation under said chap­
ter to the extent that such property is used in the conduct of the business of the purchaser. Any abuse or misuse of this certificate
by any tax-exempt organization or any unauthorized use of this certificate by any individual constitutes a serious violation and will
lead to revocation. Willful misuse of this Certificate of Exemption Is subject to criminal sanctlo.ns of up to one year in prison
and $10,000 ($50,000 for corporations) in fines. (See reverse side.)
'*
~iLLESLEY
tOLLEiE
CONTROLLERS
Qff
ltt
WiLLESLEl £GLLE&E
106 CENTRAL ST
WELLESLEY
02481
MA
EXEMPTION NUMBER E
u-42-1 o3-o.37
ISSUE DATE
£1JLJ4J09
CERTIFICATE EXPIRES ON
L1J t:i4J 19
NOT ASSIGNABLE OR TRANSFERABLE
COMMISSIONER OF REVENUE
l.\AVJ .lH:T tl:Al

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