Application For Sales Tax Exemption Page 2
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2Form 13-16-A - Page 2
Type of Organization
(check ONLY one)
Oklahoma Coal Mining.
Shelter for Abused, Neglected
Preservation of Wetlands and
(See instructions-Item 32)
Habitat for Wild Ducks.
or Abandoned Children.
(See instructions-Item 39)
(See instructions-Item 49)
Older Americans Act.
Preservation and Conservation
Spaceport User.
(See instructions-Item 33)
of Wild Turkeys.
(See instructions-Item 68)
On-site Universal Pre-
(See instructions-Item 40)
Kindergarten Education.
State of Oklahoma, Local or
(See instructions-Item 34)
Private Schools-Elementary/
County Government Entity.
Secondary.
(See instructions-Item 50)
Organizations for Rehabilitation
(See instructions-Item 41)
of Court-adjudicated Juveniles.
Veterans of Foreign Wars of
United States, Oklahoma
(See instructions-Item 35)
Private School-Higher
Education.
Chapters.
Organizations for Educating
(See instructions-Item 42)
(See instructions-Item 51)
Community Regarding the
Developmentally Disabled.
Volunteer Fire Department-
Public School Districts.
(See instructions-Item 36)
Title 18.
(See instructions-Item 43)
(See instructions-Item 52)
Organizations Funding
Public Schools of Higher
Scholarships in the Medical
Education.
Youth Athletic Teams.
Field.
(See instructions-Item 44)
(See instructions-Item 66)
(See instructions-Item 37)
Youth Camps.
Qualified Neighborhood Watch
Organizations Providing
Organizations.
(See instructions-Item 54)
Education Relating to Robotics.
(See instructions-Item 45)
(See instructions-Item 67)
YWCA OR YMCA.
Rural Electric Cooperative.
(See instructions-Item 55)
Organizations Supporting State
(See instructions-Item 47)
Parks in Oklahoma.
Nonprofit Corporation Rural
(See instructions-Item 64)
Public Nonprofit Rural Water
Water District.
District. (See instructions-Item 48)
(See instructions-Item 72)
Parent-Teacher Associations or
Organizations.
School Foundations.
(See instructions-Item 38)
(See instructions-Item 17)
Additional documentation may be required.
13. This is to certify that the organization and responsible person(s) listed understand that only purchases of items for use
solely by the organization are exempt from sales tax. Exemptions issued by this application will be properly utilized and
safeguarded from abuse.
14. Name (printed) of Authorized Representative
Signature of Authorized Representative
(If a corporation/LLC should be an officer or member)
15. Title of Authorized Representative
16. Date
Mandatory inclusion of Social Security and/or Federal Identification numbers is required on forms filed with the Oklahoma Tax
Commission pursuant to Title 68 of the Oklahoma Statutes and Regulations thereunder, for identification purposes, and are deemed
part of the confidential files and records of the Oklahoma Tax Commission. Your federal identification number does not qualify
you for the sales tax exemption.
Please note: All exempt purchases must be invoiced to the organization and paid by funds or check directly from the orga-
nization to qualify for the exemption.
Oklahoma Tax Commission
Attach all required documents and mail to:
Taxpayer Assistance Division
PO Box 26920
Oklahoma City, OK 73126-0920
The Oklahoma Tax Commission is not required to give actual notice of changes in any state tax law.
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