Request For Extension Of Sales And Use Tax Exemption - Virginia Department Of Taxation Page 2

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SECTION B: EXEMPTION INFORMATION
1.
If the exemption has been granted for purchases, what was the dollar amount, excluding
sales tax, of the taxpayer’s purchases of tangible personal property over the last three (3)
years? Include taxable services, if applicable. Estimates are acceptable. Exclude goods for
resale, motor vehicles and fuel, services, salaries, insurance, utilities, postage/shipping,
rent/mortgage payments, depreciation, and interest charges.
Year / Period
Annual Purchases Subject to Sales and Use Tax
Please note: if the information is not available for the years shown, please indicate
time periods for which this information is available and provide available information.
You can include necessary brief clarifications, such as fiscal year end dates, etc.
2.
Do you expect purchases to change significantly in the future from what they have been in
the recent past? YES_____
NO______
3.
If the exemption has been granted for sales, what was the dollar amount, excluding sales
tax,
of the taxpayer’s sales of tangible personal property over the last three (3) years?
Exclude goods sold for resale, motor vehicles and fuel, services, salaries, insurance, utilities,
postage/shipping, rent/mortgage payments, depreciation, and interest charges.
Year / Period
Annual Sales Subject to Sales and Use Tax
Please note: if the information is not available for the years shown, please indicate
time periods for which this information is available and provide available information.
You can include necessary brief clarifications, such as fiscal year end dates, etc.
4.
Do you expect a significant change to occur to your sales volume? YES
NO ___
5.
To your knowledge, are there other businesses that perform a similar function requesting or
receiving this exemption? YES
NO
DON’T KNOW
If YES, please list the names of the similar businesses.
6.
Please list other states that allow a similar exemption.

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