Form Pub. Ks-1560 - Kansas Business Taxes For Schools & Educational Institutions (Page 33 of 37) in pdf

Form Pub. Ks-1560 - Kansas Business Taxes For Schools & Educational Institutions Page 33

KANSAS DEPARTMENT OF REVENUE

AGENT ISSUED

PROJECT EXEMPTION CERTIFICATE

PERMIT TO PURCHASE TANGIBLE PERSONAL 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

(Vendor Name)

(City, State)

is exempt from the Kansas Sales and Compensating (Use) Tax pursuant to K.S.A. 79-3606(d) or (e) of 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

SAMPLE

City, State

Authorized Signature

April 1, 2006

OT VALID ON PURCHASES MADE PRIOR TO

July 31, 2006

OT VALID ON PURCHASES MADE AFTER

Agent Status Number:

123-01

This entity has been granted agent status pursuant to K.S.A. 79-3606(d) or (e):

ABC Elementary

Project number (if used): 1234567

Location of project (city or county): 120 S. Main, Anytown, KS

Description of project: Construction of a utility building

INSTRUCTIONS

EXEMPT ORGANIZATION-A copy of this certificate should be furnished to each contractor or subcontractor who will be purchasing

tangible personal property for use on the project.

CONTRACTOR/SUBCONTRACTOR-Contractors and subcontractors working on the exempt project must furnish a completed copy

of this exemption certificate to each retailer from whom you are buying tangible personal property or services for this project, or from

whom you are renting or leasing construction machinery for use on the project.

RETAILER-Retailers must obtain a completed copy of this exemption certificate from each contractor or subcontractor making

purchases of tangible personal property or services for the project, or renting or leasing construction machinery for use on the project.

Important Note: All invoices and exemption certificates for this project must be maintained by all parties for a period of five years

and are subject to audit by the Kansas Department of Revenue.

PR-74a (Rev. 12/05)

Form Pub. Ks-1560 - Kansas Business Taxes For Schools & Educational Institutions Page 33