Form 13-16-A - Application For Sales Tax Exemption - Oklahoma Tax Commission
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213-16-A
Revised July 2002
O
T
C
KLAHOMA
AX
OMMISSION
2501 L
B
INCOLN
LVD.
O
C
O
73194
KLAHOMA
ITY,
K
A
F
S
T
E
PPLICATION
OR
ALES
AX
XEMPTION
FEDERAL IDENTIFICATION NUMBER
Office Use Only
Is organization incorporated?
Yes
No
EXEMPTION NUMBER
Legal Name of Organization
Business Phone Number
APPROVED
DENIED
SIC CODE
Organization Physical Location (street & number or directions) Do
use PO box or rural route number
not
STATUS
City
State
Zip Code
EXEMPTION YEAR
Mailing Address (street & number, PO box or rural route and box number)
COPO
City
State
Zip Code
T
O
O
YPE
F
RGANIZATION (check one)
provide and deliver prepared meals for home consumption.
❑
Church. Attach the following:
Attach the following:
IRS letter recognizing organization as tax exempt pursuant
●
IRS letter recognizing organization as tax exempt pursuant to
●
to 26 USC§ 501 (c)(3) or
26 USC §501 (c)(3).
Documentation which shows that the church consists of a body
●
Articles of incorporation, by-laws, brochure, or notarized let-
●
of believers which holds religious services and public notifi-
ter from president or chairman of organization describing
cation of the place and time of those services such as: a copy
organization’s activities.
of a newspaper ad, a copy of a yellow pages ad; or a newslet-
ter or bulletin sent to regular attendees or distributed during
❑
Older Americans Act - sales of food/food products or any
services.
equipment or supplies used in the preparation of the food or
❑
Public school.
food products to or by 501(c)(3) tax exempt organizations
which receive federal funding pursuant to Older Americans
❑
Oklahoma System of Higher Education.
Act of 1965 to provide nutrition programs for the elderly.
Attach the following:
❑
Private school registered with the State Department of
IRS letter recognizing organization as tax exempt pursuant
●
Education and private institutions of higher education
to 26 USC §501(c)(3).
accredited by the Oklahoma Board of Regents for Higher
Articles of incorporation, by-laws, brochure, or notarized let-
●
Education. Attach IRS letter recognizing organization as tax
ter from president or chairman of organization describing
exempt pursuant to 26 USC § 501(c) (3).
organization’s activities.
❑
Parent-Teacher Associations or Organizations.
Letter notifying organization of approval for funding under
●
Attach IRS letter recognizing organization as tax exempt
Older Americans Act of 1965.
pursuant to 26 USC §501(c)(3).
❑
Collection and Distribution - sales to or by 501(c)(3) tax
❑
State of Oklahoma, local or county government
exempt organizations whose primary purpose is to collect and
entity.
distribute food and household products to 501(c)(3) organi-
❑
zations which facilitate the distribution of such products to
Federal government or its instrumentality.
the needy. Attach the following:
❑
IRS letter recognizing organization as tax exempt pursuant
City or county trust or authority.
●
to 26 USC §501(c)(3).
❑
Federally chartered credit union, Federal Reserve Bank,
Articles of incorporation, by-laws, brochure, or notarized let-
●
Federal Land Bank, or Federal Home Loan Bank.
ter from president or chairman of organization describing
organization’s activities.
❑
Rural water district.
List of organizations, including FEI numbers, to which items
●
were distributed in previous calendar year.
❑
Museum which is accredited by the American Museum As-
sociation. Attach written confirmation of accreditation.
❑
Children’s homes which are supported or sponsored by
❑
one or more churches, members of which serve as trustees of
Rural Electric Cooperative.
the home. Attach statement giving description of activities,
❑
name and church affiliation of trustees, and for each church
Meals on Wheels - sales of food/food products or any equip-
ment or supplies used in the preparation of the food or food
named, type of support given during last fiscal year.
products to or by 501(c)(3) tax exempt organizations which
(continued on the back)
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