Form St-340 - Annual Report Of Sales And Use Tax Exemptions Claimed By Agent/project Operator Of Industrial Development Agency/authority (Ida)
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1
2ST-340
New York State Department of Taxation and Finance
Annual Report of Sales and Use Tax Exemptions
(3/11)
Claimed by Agent/Project Operator of
Industrial Development Agency/Authority (IDA)
For Period Ending December 31,
(enter year)
Project information
Name of IDA agent/project operator
Federal employer identification number (FEIN)
Street address
Telephone number
(
)
City
State
ZIP code
Name of IDA agent/project operator’s authorized representative, if any
Title
Street address
Telephone number
(
)
City
State
ZIP code
Name of IDA
Name of project
Street address of project site
City
State
ZIP code
1 Project purpose
Services
Construction
Agriculture, forestry, fishing
(mark an X
:
in the appropriate box)
Wholesale trade
Retail trade
Finance, insurance or real estate
Transportation, communication, electric, gas, or sanitary services
Manufacturing
Other (specify)
/
/
2 Date project began (mm/dd/yy):
/
/
3 Beginning date of construction or installation (mm/dd/yy; see instructions):
;
actual
expected
/
/
4 Completion date of construction phase of project (mm/dd/yy; see instructions):
;
actual
expected
/
/
5 Completion date of project (mm/dd/yy; see instructions):
;
actual
expected
/
6 Duration of project (actual or expected; years/months):
7 Total sales and use tax exemptions (actual tax savings; NOT total purchases) .............................
7 $
Certification: I certify that the above statements are true, complete, and correct, and that no material information has been omitted. I
make these statements with the knowledge that willfully providing false or fraudulent information with this document may constitute a
felony or other crime under New York State Law, punishable by a substantial fine and possible jail sentence. I also understand that the Tax
Department is authorized to investigate the validity of any information entered on this document.
Print name of officer, employee, or authorized representative signing for the IDA agent/project operator Title of person signing
Signature
Date
Failure to annually file a complete report may result in the removal of authority to act as an IDA agent/project operator.
Mail completed report to: NYS Tax Department, IDA Unit, W A Harriman Campus, Albany NY 12227.
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