Form Rv-093 - Sales Tax Exempt Status Application & Instructions Page 4

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Sales Tax Exempt Status Application, Page 2
Activities and Operational Information (Send additional pages if there is not enough room)
R
A
O
:
elief
gencies
nly
1. Sources of Funding (Please Send Budget or Financial Statement):
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
2. Nature of Expenditures:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
3. Explain specifically what goods and/or services your organization provides exclusively for the relief of the poor, disadvantaged,
or underprivileged:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
R
P
e
i
O
:
eligiOus OR
RivAte
ducAtiOnAl
nstitutes
nly
1. Describe the South Dakota physical location of the institution, including the classrooms:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
2. Describe the faculty, students, courses of study, accreditation, and degree awarded:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
3) Explain what agency your school is accredited by and send a copy of the accreditation:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
4. Explain how the school is related to a religious society and how the religious views are promoted through education (Religious
Educational Institution Only):
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
I
DECLARE under the penalties of perjury that I am authorized to submit this application on behalf of the above-named organization and I
have examined this application, including the accompanying statements, and to the best of my knowledge it is true, correct, and complete.
RV-093 05/11

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