Form 149 - Sales And Use Tax Exemption Certificate
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Missouri Department of Revenue
Form
149
Sales and Use Tax Exemption Certificate
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. When a purchaser is claiming an exemption for purchases of items that qualify for the full manufacturing
exemption and other items that only qualify for the partial manufacturing exemption, the seller must make certain the correct amount
of tax is charged for each item purchased.
Name
Telephone Number
Missouri Tax I.D. Number
(___ ___ ___)___ ___ ___-___ ___ ___ ___
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Contact Person
Doing Business As Name (DBA)
Address
City
State
Zip Code
Describe product or services purchased exempt from tax
Type of business
Name
Telephone Number
Contact Person
(___ ___ ___)___ ___ ___-___ ___ ___ ___
Doing Business As Name (DBA)
Address
City
State
Zip Code
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Purchases of Tangible Personal Property for resale: Retailer’s State Tax ID Number ______________________ Home State ___________
(Missouri Retailers must have a Missouri Tax I.D. Number)
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Purchases of Taxable Services for resale (see list of taxable services in instructions)
Retailer’s Missouri Tax I.D. Number ___________________.
(Resale certificate cannot be taken by seller in good faith unless the purchaser is registered in Missouri)
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Purchases by Manufacturer or Wholesaler for Wholesale: Home State: ___________ (Missouri Tax I.D. Number may not be required)
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Purchases by Motor Vehicle Dealer: Missouri Dealer License Number ____________________________
(Only for parts that will be used on vehicles being resold) (An Exemption Certificate for Tire and Lead-Acid Battery Fee (Form 149T) is
required for tire and battery fees)
These apply to state and local sales and use tax.
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Ingredient or Component Part
Plant Expansion
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Manufacturing Machinery, Equipment, and Parts
Research and Development of Agricultural Biotechnology
Products and Plant Genomics Products and Prescription
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Material Recovery Processing
Pharmaceuticals
These only apply to state tax (4.225%) and local use tax, but not sales tax. The seller must collect and report local sales taxes
imposed by political subdivisions.
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Research and Development
Manufacturing Chemicals and Materials
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Machinery and Equipment Used or Consumed in Manufacturing
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Materials, Chemicals, Machinery, and Equipment Used or Consumed in Material Recovery Processing Plant
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Utilities or Energy and Water Used or Consumed in Manufacturing (Must complete below)
Purchaser’s Manufacturing Percentage _______________ %
Purchaser’s Square Footage ____________________
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Air and Water Pollution Control, Machinery, Equipment,
Agricultural
Common Carrier
Locomotive Fuel
(Attach
Form
5095)
Appliances and Devices
r
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Commercial Motor Vehicles or Trailers Greater than 54,000
Other
Pounds (Attach
Form
5435)
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
Signature (Purchaser or Purchaser’s Agent)
Title
Date (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Form 149 (Revised 12-2013)
If you have questions, please contact the Department of Revenue at:
Phone: (573) 751-2836
TDD: (800) 735-2966
E-mail:
salestaxexemptions@dor.mo.gov
Visit
for additional information.
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