Form St-R-18 - Application For Sale/use Tax Exemption Certificate Incorporated Nonprofit Memorial Foundations Or An Incorporated Nonprofit Historical Society Or An Incorporated Nonprofit Museum
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1S T A T E O F M A I N E
M A I N E R E V E N U E S E R V I C E S
ADMINISTRATIVE & FINANCIAL
2 4
S T A T E H O U S E S T A T I O N
SERVICE
,
A U G U S T A
M A I N E
REBECCA M. WYKE
0 4 3 3 3 - 0 0 24
COMMISSIONER
John Elias Baldacci
JEROME D. GERARD
GOVERNOR
ACTONG EXECTUTIVE DIRECTOR
APPLICATION FOR SALE/USE TAX EXEMPTION CERTIFICATE
( ) INCORPORATED NONPROFIT MEMORIAL FOUNDATIONS OR
( ) AN INCORPORATED NONPROFIT HISTORICAL SOCIETY OR
( ) AN INCORPORATED NONPROFIT MUSEUM
Name of Corporation
______________________________________________________
Name of Organization
______________________________________________________
Physical Location
______________________________________________________
Mailing Address
______________________________________________________
______________________________________________________
______________________________________________________
The statute reads, "Historical societies, museums and certain memorial foundations. Sales to incorporated
nonprofit memorial foundations that primarily provide cultural programs free to the public, historical societies
and museums. [2001, c. 439, Pt. PPP, §1 (amd); §2 (aft).]
Is the organization incorporated? Yes ___ No ___
Send a copy of the articles of incorporation
Has the organization received 501(c) nonprofit status from the IRS? Yes ___ No ___
Send a copy of the IRS determination letter indicating 501(c) nonprofit status
IN ORDER TO PROCESS THE APPLICATION THE FOLLOWING MUST BE INCLUDED
1. Copy of the Articles of Incorporation, as well as a copy of the Constitution and/or By-law
2. Copy of the IRS determination letter indicating 501(c) nonprofit status
3. Please forward any publications issued by your organization which would provide details regarding
purpose, mission and/or services offered, if applicable.
I hereby certify that ______________________________________________________ is an incorporated
nonprofit memorial foundation, historical society or museum. I therefore request that a sales/use tax
exemption certificate be issued to the above organization pursuant to Title 36 MRSA 1760 (42).
Date: _________________________
Signature: _______________________________________
Tel:
Print Name: _____________________________________
Fed ID:
Title: ___________________________________________
Date Facility Opened: _____________________________
ST-R-18
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E A R I N G
M P A I R E D
H O N E
E-mail:
sales.tax@state.me.us
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