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Form ST-5C Contractor’s Sales Tax Exempt Purchase Certificate

Part A. To be completed by governmental body, agency or IRC Section 501(c)(3) certified exemptorganizationExempt numberContract numberName of Exempt organizationAuthorizing signatureDatePart B. To be completed by purchasing contractor or subcontractor claiming exemption underMGL Ch. 64H, sec. 6(d), (e), (f) or (tt)Purchaser (contractorsubcontractor)AddressDateVend or registration number (if applicable)Contract/subcontract numberContract/subcontract dateEstimated date of completionPart C. To be completed by purchasing contractor or subcontractor claiming exemption. See claim the exemption corresponding to the box checked below, and certify as follows (check appropriate box below) under MGL Ch. 64H, sec. 6(d) or (e): Contractor as Agent of Exempt certify that the purchaser is a contractoror subcontractor engaged in the performance of the above described contract and that the purchaser is acting as an agent of one theentities described below (check appropriate box) in purchasing tangible personal property (other than building materials and supplies de-scribed in MGL Ch.)

Dec 12, 2017 · governmental entities under MGL Ch. 64H, sec. 6(tt). “Consult-ing or operating contractors or subcontractors,” as defined in MGL Ch. 64H, sec. 6(tt) purchasing tangible personal property on behalf of, and acting as agents of, and providing “qualified serv-ices” (as defined in MGL c. 64H, sec. 6(tt)) to a governmental

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Transcription of Form ST-5C Contractor’s Sales Tax Exempt Purchase Certificate

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