Form Pub. Ks-1525 - Kansas Sales & Use Tax For Contractors Subcontracotrs & Repairmen Page 45

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KANSAS DEPARTMENT OF REVENUE
DIVISION OF TAXATION
PROJECT EXEMPTION CERTIFICATE
PERMIT TO PURCHASE TANGIBLE PROPERTY OR SERVICES WITHOUT PAYMENT OF SALES
TAX, LOCAL SALES TAX, OR COMPENSATING TAX
The undersigned purchaser certifies that the sale of tangible personal property by
of
,
(Name of Vendor)
(City, State)
is exempt from the Kansas Sales and Compensating (Use) Tax pursuant to K.S.A. 79-3606(c),(d) or (aaa) or the
Retailers’ Sales Tax Act.
Pursuant to the above section, the exemption certificate number below must appear on the invoice covering such
sale.
Date
Purchaser
(Contractor/Subcontractor)
Address
City, State
Authorized Signature
N
:
April 1, 2006
OT VALID ON PURCHASES MADE PRIOR TO
N
:
July 31, 2006
OT VALID ON PURCHASES MADE AFTER
Exemption Certificate No.: 123456
Name of political subdivision of the state, instrumentality or agency of the United States government or nonprofit
hospital, or educational institution, or religious organization with whom contract has been signed: Hilton High School
Project number (if used): 654321
Location of project (city or county):420 Highland Drive, Anytown, KS
Description of project: Construction of a new gymnasium
INSTRUCTIONS
EXEMPT ORGANIZATION–A copy of this certificate (as completed by the Department of Revenue) should be
furnished to each contractor or subcontractor who will be purchasing tangible personal property for use on the
project.
CONTRACTOR/SUBCONTRACTOR–A completed copy of this exemption certificate must be furnished to each
retailer from which the contractor/subcontractor is making purchases of tangible personal property for use on the
project.
RETAILER–A completed copy of this exemption certificate must be retained by the retailer from each
contractor/subcontractor making purchases of tangible personal property for use on the project.
PR-74
(Rev. 9/08)

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