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Missouri Department of Revenue
Form
Exemption Certificate for Tire and
149T
Lead-Acid Battery Fee
This form is to be given to the Seller by the Purchaser
Caution to Seller: In order for the certificate to be accepted in good faith by the Seller, the Seller must exercise care that the
property being sold is exempt.
Purchaser’s Name
Seller’s Name
Doing Business as Name (DBA)
Doing Business as Name (DBA)
Address
Address
City
City
State
Zip Code
State
Zip Code
Purchaser’s Type of Business
r
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Resale - Registered Tire Retailer
Family Farm or Family Farm Corporation
(Missouri Registration Required)
Missouri Tax Identification Number
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r
r
Resale - Registered Battery Retailer
Agricultural Operations
(Missouri Registration Required)
Missouri Tax Identification Number
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Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
Signature
Printed Name
Title
Date (MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
Instructions
Tire and Lead-Acid Battery Fee
Tires and Batteries are exempt from the fee if purchased for resale. A Missouri Tax Identification number is required. Also, tires for
farm tractors and farm implements, if owned and operated by family farms or family farm corporations, are exempt from the tire fee.
Batteries used for agricultural operations are exempt. Purchases of tires and batteries by non-profit organizations are not exempt
from the tire and lead-acid battery fees.
Motor vehicle dealers cannot purchase tires and batteries for resale if the purchase is for replacing tires or batteries on motor vehicles
to be sold to the public.
Sellers should update resale exemption certificates for their files every five (5) years.
Phone: (573) 751-2836
DOR-149T (Revised 05-2013)
Taxation Division
TDD: (800) 735-2966
P.O. Box 358
E-mail: salestaxexemptions@dor.mo.gov
Jefferson City, MO 65105-0358
Visit dor.mo.gov/business/sales/sales-use-exemptions.php for additional information.