Transcription of ALA BAMA DEPARTMENT OF R SALES AND USE TAX …
1 An alabama SALES Tax Certificate of Exemption shall be used by persons, firms, or corporations coming under the provisions of theAlabama SALES Tax Act who are not required to have a SALES Tax COMPLETE EACH LINE APPLICABLE TO YOUR ENTITY. A SALES TAX CERTIFICATE OF EXEMPTION WILLNOT BE ISSUED UNTIL THIS APPLICATION IS PROPERLY Federal Employer Identification Number (FEIN)_____ 2. Business Telephone (_____)_____3. _____ NAME OF PERSON(S), FIRM, CORPORATION, ASSOCIATION, CO-PARTNERSHIP MAKING 4. Contact Person _____ GIVE TRADE NAME5. Mailing address of home office _____ BOX OR STREET NO. OR CITY COUNTY STATE ZIP CODE6.
2 Location_____ CITY STREET AND NO. OF HWY. COUNTY ZIP CODE Location must be exact street number or, if on highway or rural route, give details of location. If more than one location, pleaseattach Number of businesses in alabama _____8. Would you like to receive a courtesy email notification to renew your certificate? No Yes If yes, you must provide email address: _____9. The Business is: For Profit Non-Profit10. REASON EXEMPTION CLAIMED_____ (PRIVATE SCHOOL, UNITED WAY, ETC.) (PROVIDE CODE SECTION OR ACT NUMBER IF KNOWN)11.
3 Please attach a list of Board Members and a copy of the articles of incorporation. (CEO, CFO, or Executive Director may sign.)NOTEAs a prerequisite to renewal of a certificate, the quadrennial report must be filed as required by _____ Signed _____Title _____ Date _____ Title _____ Date _____MAIL OR EMAIL APPLICATION TO: Attn.: Exemption Unit alabama DEPARTMENT of Revenue SALES and Use Tax Division Box 327710 Montgomery, AL 36132-7710 REVENUE DEPARTMENT USE ONLYE xaminer s Remarks_____ Examiner _____ Date _____Supervisor s Recommendation_____ Supervisor _____ Date _____ALABAMADEPAR TMENT OFREVENUESALES ANDUSETAXDIVISIONA pplication for SALES Tax Certificate of Exemptionfor Statutorily Exempt EntitiesST: EX-A1-SE2/17
