Form ST-11B
COMMONWEALTH OF VIRGINIA
SALES AND USE TAX CERTIFICATE OF EXEMPTION
(For use by a semicondutor manufacturer)
To:
Date:
(Name of Dealer)
(Number and Street or Rural Route)
(City, Town, or Post Office)
(State and ZIP Code)
The Virginia Retail Sales and Use Tax Act provides that the Virginia sales and use tax shall not apply to
certain
tangible personal
property used in semiconductor manufacturing.
The undersigned purchaser hereby certifies that all tangible personal property purchased or leased from the
above named supplier on and after this date will be purchased or leased for the purpose indicated below, unless
otherwise specified on each order, and that this Certificate shall remain in effect until revoked in writing by the
Department of Taxation (check proper box below).
Semiconductor cleanrooms or equipment, fuel, power, energy, supplies, or other tangible personal property
used primarily in the integrated process of designing, developing, manufacturing, or testing a semiconductor
product, a semiconductor manufacturing process or subprocess, or semiconductor equipment without
regard to whether the property is actually contained in or used in a cleanroom environment, touches the
product, is used before or after production, or is affixed to or incorporated into real estate.
Semiconductor wafers for use or consumption by a semiconductor manufacturer.
Certificate of
Name of Purchaser
Registration No., if any
(Number and Street or Rural Route)
(City, Town, or Post Office)
(State and ZIP Code)
I certify that I am authorized to sign this Certificate of Exemption and that, to the best of my knowledge and
belief, it is true and correct, made in good faith, pursuant to the Virginia Retail Sales and Use Tax Act.
By
(Signature)
(Title)
Information for dealer -- A dealer is required to have on file only one Certificate of Exemption properly executed by each purchaser
buying or leasing tax exempt tangible personal property under this Certificate.
VA DEPT OF TAXATION 62010XX ST-11B REV 5/06