Application For Certificate Of Exemption From Sales And Use Tax (Page 2 of 2) in pdf

Application For Certificate Of Exemption From Sales And Use Tax Page 2

CHURCH QUESTIONNAIRE

IS THIS CHURCH EXEMPT UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE? _____

HOW LONG HAS THIS CHURCH BEEN IN EXISTENCE?_________________

IS THIS CHURCH AFFILIATED WITH OTHER CHURCHES/ORGANIZATIONS?________

IF SO, HOW?________________________________________________________________

WHO IS THE “HEAD” OF THIS CHURCH, AND WHAT TRAINING/QUALIFICATIONS DOES

HE/SHE POSSESS?___________________________________________________________

DOES THE HEAD OF THIS CHURCH HOLD ANOTHER JOB, EITHER FULL-TIME OR

PART-TIME?_________________________________________________________________

IS THE HEAD OF THE CHURCH A LICENSED CLERGY?____________________________

DOES HE/SHE PERFORM CIVIL DUTIES SUCH AS MARRIAGES?____________________

HOW IS THE HEAD OF THE CHURCH PAID (STIPEND, EXPENSES, ETC.)?

____________________________________________________________________________

WHERE ARE THE CHURCH SERVICES HELD?____________________________________

IF THE MEETING PLACE IS NOT OWNED BY THE CHURCH, WHO OWNS IT?

_________________________________________________________________

IS IT RENTED OR LEASED?____________ COST OF RENTAL OR LEASE________

10.

HOW MANY CHURCH MEMBERS ARE THERE?____________________________________

11.

ARE CHURCH MEMBERS FREE TO PRACTICE OTHER RELIGIONS?__________________

12.

WHAT ARE THE CHURCH EXPENSES AND HOW ARE THEY MAINTAINED?

(eg. DONATIONS, SOLICITATIONS, ETC.)__________________________________________

13.

WHERE ARE CHURCH RECORDS MAINTAINED?___________________________________

14.

WHAT ACTIVITIES DOES THE CHURCH ENGAGE IN OTHER THAN HOLDING SERVICES?

(DOES CLERGY VISIT SICK PARISHIONERS, ETC.)_________________________________

15.

IF THE CERTIFICATE OF EXEMPTION IS GRANTED, WHAT TYPE OF PURCHASES WILL

IT BE USED FOR?_____________________________________________________________

SIGNATURE OF PREPARER

DATE

PRINT NAME OF PREPARER

SOCIAL SECURITY NUMBER

ADDRESS

Rev. 10/17/2007

Application For Certificate Of Exemption From Sales And Use Tax Page 2