State of New Jersey
ST-13
(11-11, R-9)
DIVISION OF TAXATION
SALES TAX
CONTRACTOR’S NEW JERSEY TAX
REGISTRATION NUMBER*
To be completed by contractor and
FORM ST-13
retained by seller.
CONTRACTOR’S EXEMPT PURCHASE CERTIFICATE
TO: ________________________________________________________________________________ __________________________
(Name of Seller)
(Date)
_______________________________________________________________________________________________________________
(Address of Seller)
_______________________________________________________________________________________________________________
The materials, supplies, or services purchased by the undersigned are for exclusive use in erecting structures, or building
on, or otherwise improving, altering or repairing real property of the exempt organization, governmental entity, or qualified
housing sponsor named below and are exempt from Sales and Use Tax under N.J.S.A. 54:32B-8.22.
*
THIS CONTRACT COVERS WORK TO BE PERFORMED FOR:
(Check one)
EXEMPT ORGANIZATION
Name of Exempt Organization . . . . . . . . ________________________________________________________
Address . . . . . . . . . . . . . . . . . . . . . . . . . . ________________________________________________________
Exempt Organization Number . . . . . . . . . ________________________________________________________
NEW JERSEY OR FEDERAL GOVERNMENTAL ENTITY
Name of Governmental Entity . . . . . . . . . ________________________________________________________
Address of Governmental Entity . . . . . . . ________________________________________________________
QUALIFIED HOUSING SPONSOR
Name of Qualified Housing Sponsor . . . . ________________________________________________________
Address of Qualified Housing Sponsor . . ________________________________________________________
ADDRESS OR LOCATION OF CONTRACT WORK SITE: (property must be owned or leased by one of the above)
______________________________________________________________________________________________
I, the undersigned contractor, hereby verify and affirm that all of the information shown on this certificate is true.
_____________________________________________________________________________________
Name of Contractor as registered with the New Jersey Division of Taxation*
_____________________________________________________________________________________
Address of Contractor*
_____________________________________________________________________________________
Signature of Contractor or Authorized Employee*
See INSTRUCTIONS on reverse side.
MAY BE REPRODUCED
*Required
(Front & Back Required)