Application For Sales And Use Tax Exemption For Nonprofit Organizations - Virginia Department Of Taxation Page 2

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8. Please select only one, if you have been granted an exemption from collecting the sales and use tax by the
Department of Taxation or you are applying for an exemption and fall within the same class of organization of
any entity that was exempt from collecting sales and use tax on June 30, 2003. Please see page 5 for a
description of the organization types.
____Cardiovascular Organizations
____Cancer Organizations
____Diabetes Organizations
____Physical Education Programs
____Lung Organizations
____Nutrition programs
____Nonsectarian Youth Organizations
____Supports Public Libraries
____Youth Symphony Orchestras
____Volunteer medical service organizations
____Food Banks
____Volunteer Fire Dept. & Rescue Squads
____Humane Societies
____Provide food packages at reduced prices
____School fund raising for elementary or secondary (PTAs)
____Noncommercial educational telecommunications entity
____Non-profit foundation for training and education in law enforcement
____Blind, deaf, hearing impaired, drug abuse program, musically talented children of Virginia
9.
According to General Accepted Accounting Principles please provide the following dollar amounts for the
previous year. (See page 2 for instructions)
REVENUE:
Previous Year Total Annual Gross Revenue: ___________________
EXPENDITURES:
Previous Year Total Salaries: _______________________________
Previous Year Total Fundraising: ____________________________
Previous Year Total Administrative Cost: _____________________
NOTE:
If the previous year’s total annual gross revenue is $250,000 or greater, attach a financial audit
that was performed by an independent Certified Public Accountant (CPA).
10. Please indicate the dollar amount, excluding sales tax, of the organization’s purchases of tangible personal
property purchased for this year, next year, and the preceding year. Estimates are acceptable. (Exclude goods
for resale, motor vehicles and fuel, services, salaries, insurance, utilities, postage/shipping, rent/mortgage
payments, depreciation, and interest charges).
Year / Period
Annual Purchases Subject to Sales and Use Tax
2005
2004
2003
2

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