Application For Sales Tax Exemption

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Form 13-16-A
Revised 9-2014
Oklahoma Tax Commission
Application for Sales Tax Exemption
Office Use Only
2. Is Organization Incorporated?
1. Federal Identification Number
Yes
No
Exemption Number
3. Legal Name of Organization
4. Business Phone Number
Approved
5. Organization Physical Location (street and number or directions) Do NOT use post office box or rural route number.
Denied
NAICS Code
6. City
7. State
8. Zip Code
SIC Code
9. Mailing Address (street and number, post office box or rural route and box number)
COPO
10. City
11. State
12. Zip Code
Type of Organization
(check ONLY one)
Biomedical Research
Community Blood Banks.
Health Center.
Foundations.
(See instructions-Item 10)
(See instructions-Item 21)
(See instructions-Item 1)
Community Mental Health
Federally Recognized Indian
Tribes.
Boys & Girls Clubs of America
Center.
Affiliate.
(See instructions-Item 22)
(See instructions-Item 11)
(See instructions-Item 2)
Community-based Health
Grand River Dam Authority.
Boy Scouts of America; Girl
Center.
(See instructions-Item 23)
Scouts of U.S.A.; Camp Fire
(See instructions-Item 12)
Hazardous Waste Treatment
U.S.A. Council Organizations.
Facility.
Community-based Autonomous
(See instructions-Item 3)
Member.
(See instructions-Item 24)
Career Technology Student
(See instructions-Item 13)
Indigent Health Care Revolving
Organizations.
Construction Projects by
Fund Clinic.
(See instructions-Item 4)
Organizations Providing
(See instructions-Item 25)
Charitable Health
End-of-Life Care and Access to
Meals on Wheels.
Organizations.
Hospice Services.
(See instructions-Item 26)
(See instructions-Item 5)
(See instructions-Item 14)
Metropolitan Area Homeless
Children’s Homes on Church-
Cultural Organization for
Service Provider.
owned Property.
Disadvantaged Children.
(See instructions-Item 27)
(See instructions-Item 6)
(See instructions-Item 15)
Museums Accredited by the
Children’s Homes Supported by
Disabled American Veterans,
American Association of
Churches.
Dept. of Oklahoma, Inc.
Museums.
(See instructions-Item 69)
(See instructions-Item 16)
(See instructions-Item 29)
Church.
Federal Government or its
NRA/Other Organizations That
(See instructions-Item 7)
Instrumentality.
Defend 2
Amendment Rights.
nd
(See instructions-Item 19)
City or County Trust or Authority.
(See instructions-Item 30)
Federally Chartered Credit
(See instructions-Item 8)
National Volunteer Women’s
Union.
Collection and Distribution.
Service Organization.
(See instructions-Item 20)
(See instructions-Item 9)
(See instructions-Item 31)
A
(continued on page B)

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