Form 2085 - South Dakota Request For Consideration Of Indian Use Only Projects
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1SD EForm - 2085
V3
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Request for consideration of Indian Use Only Projects
Name of entity submitting request: _________________________________________________________
(i.e. Name of Project Owner, Construction Company, Construction Manager, etc)
Contact Person: __________________________________________ Title: ________________________
Mailing Address: Street or Box Number: ____________________________________________________
City: __________________________________________ State: _______
Zip Code: ______________
Phone Number: ________________________ Email Address: ___________________________________
Project Description: _____________________________________________________________________
Project Address: ________________________________________________________________________
Legal Description: ______________________________________________________________________
Which Tribe is the Project for:
_____ Lower Brule Sioux Tribe
_____ Flandreau Santee Sioux Tribe
_____ Sisseton Wahpeton Oyate
_____ Yankton Sioux Tribe
Please refer to the Tribal-Special Jurisdiction tax fact for reality improvement projects which occur within the
boundaries of Indian Country controlled by the following tribes: Cheyenne River Sioux Tribe; Crow Creek Sioux
Tribe; Oglala Sioux Tribe; Rosebud Sioux Tribe and Standing Rock Sioux Tribe.
If approved as a tax exempt project the prime contractor should furnish to all subcontractors and material suppliers a
copy of the signed form. Tax exempt status applies to sales, use and contractor’s excise tax imposed by the State of
South Dakota and does not include any taxes imposed by a specific Indian Tribe. The exemption for material does
not apply to equipment and supplies used by the contractor that do not become a part of the building being
constructed.
To be completed by the Department:
Is the project located on Indian Country?
Yes
No
Location verified by the Attorney General’s Office: _________________________________
Date: __________________________________
Does the project meet the requirement to be classified as an Indian Use Only Project?
Yes
No
If no, explain: ______________________________________
Is the project exempt from sales, use and contractors’ excise tax:
Approved
Denied
Approved by: _______________________________________
Date: _________________
Title: ______________________________________________
or
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