Form 1746 - Missouri Sales Or Use Tax Exemption Application - 2015

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Department Use Only
Form
Missouri Department of Revenue
(MM/DD/YY)
1746
Missouri Sales or Use Tax Exemption Application
Missouri Tax I.D.
Federal Employer
Number
I.D. Number
Qualifying For Exemption As: (select one)
r
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Charitable (Benefits the common good and welfare of the
Public Elementary or Secondary Education
community, not only within the organization, while relieving
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government of a financial burden that it would otherwise be
Private Not-For-Profit Elementary and Secondary Education
required to meet)
(Must have received accreditation)
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Religious (Churches, ministries, and religious groups. Exemption
Higher Education (Must have received accreditation)
applies to sales and purchases only if within the organization’s
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religious, charitable, or educational functions)
Missouri Political Subdivision (Out-of-state political
subdivisions do not qualify)
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Not-For-Profit Civic (Benefiting the citizenry at large on an
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unrestricted basis. Exemption applies only if the sale or purchase
Federal or Missouri State Agency
is made for the organization’s civic or charitable functions and
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activities)
Missouri Cooperative Marketing Association
(Exemption applies to purchases and only exempts state sales
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Not-For-Profit Social, Service, Fraternal
tax. All purchases remain subject to local sales tax and all use
(Exemption applies only if the sale or purchase is made for the
taxes). By checking this box you are affirming that the association
organization’s civic or charitable functions and activities, and not
does at least 25% of its business with its members.
general operations of the organization)
NOTE: Unions, political organizations, and home owner associations do not qualify for a Missouri sales or use tax exemption.
Missouri Charter Number
Date Incorporated
(MM/DD/YYYY)
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Missouri Corporation
___ ___ / ___ ___ / ___ ___ ___ ___
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Missouri Certificate of Authority No.
Date Registered in Missouri
State of Incorporation
(MM/DD/YYYY)
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Out-of-State Corporation
___ ___ / ___ ___ / ___ ___ ___ ___
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Organization Name
Street Address - Do not use P.O. Box or Rural Route
Phone Number
(___ ___ ___)___ ___ ___-___ ___ ___ ___
City
State
Zip Code
County
Website Address
E-mail Address
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Does your organization own property in Missouri?
Yes
No
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Is your organization exempt from property tax?
Yes
No
Date organization originated
___ ___ / ___ ___ / ___ ___ ___ ___
(MM/DD/YYYY):
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Does your organization make retail sale?
Yes
No
If you answered “Yes”, describe the frequency and type of sales you make.
Mailing Address (If different than Organization Address)
Street Address or P.O. Box
City
State
Zip Code
County
*14013010001*
14013010001

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