The Tennessee Exemption Certificate form allows qualifying organizations to make purchases without paying sales or use tax on certain items. This certificate is issued by the Tennessee Department of Revenue and must be provided to suppliers when making tax-exempt purchases. To ensure compliance, organizations must fill out the form accurately and retain the original for their records.
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The Tennessee Exemption Certificate form serves as a crucial document for organizations seeking to make tax-exempt purchases within the state. This certificate allows qualifying entities, such as educational institutions and non-profit organizations, to acquire tangible personal property and taxable services without incurring sales or use tax. Issued by the Tennessee Department of Revenue, the form requires the organization to provide a copy to suppliers when making purchases. It is essential for the organization to retain the original certificate for its records, while suppliers must keep a copy as evidence of the exemption. The form includes specific guidelines, stipulating that the exemption does not apply to items purchased for resale or to purchases made with personal funds by representatives of the organization. Furthermore, organizations must promptly inform the Department of Revenue if there are any changes in their status, such as dissolution or relocation. The effective date of the exemption is also noted, ensuring clarity on when the organization can begin utilizing this tax benefit. By understanding the requirements and responsibilities associated with the Tennessee Exemption Certificate, organizations can effectively manage their tax obligations and maintain compliance with state regulations.
N0003101
7632128070716
TENNESSEE DEPARTMENT OF REVENUE
Certificate of Exemption
UNIVERSITYOF IOWA
120 JESSUP HALL
IOWA CITY IA 52242-1316
1,1,1".1,1"1.1,1,,1,,1,1,,, 11"11",, 11,11" "1,111,,, "I,ll
July 20, 2007
Account Type: S&U EXEMPT
Account No.: 780016653
Under the provisions of T.CA Section 67-6-322, the organization named above is granted authority from the Tennessee Department of Revenue to make purchases, without payment of the Sales or Use Tax, of tangible personal property or taxable services to be used or consumed by the organization itself or to be given away.
The organization must furnish the suppliers of goods and services with a COPY of this exemption certificate. The lower portion of the certificate must be properly completed. The organization MUST retain the original certificate for copy purposes. The supplier will maintain a file copy as evidence of exemption. Later purchases do not require the submission of additional copies. Invoices must contain the name of the organization and the number given above.
This authority does not extend to purchases made by representatives of the. organization when the items purchased or services rendered are paid for with personal funds. It does not extend to items purchased to be resold.
THE ORGANIZATION MUST NOTIFY THE DEPARTMENT IMMEDIATELY IF IT CEASES TO EXIST, MOVES, OR IN ANY WAY CHANGES THE ORGANIZATION FROM ITS PRESENT FORM.
Reagan
Farr
EFFECTIVE DATE July 1, 2007
COMMISSIONER
OF REVENUE
TO BE COMPLETED BY THE ORGANIZATION (please print)
TO: SUPPLIER'S NAME
_
ADDRESS
CITY
STATE
ZIP
I
as
an
authorized
representative of the organization named
above affirm that the purchases made under this authority will be used and consumed by the organization or will be given away. I further affirm that the organization will not use this authority to purchase items for resale.
Under penalty of perjury, I affirm this to be a true and correct statement.
PRINT
NAME OF ORGANIZATION:
NAME OF PURCHASER:
SIGNATURE OF PURCHASER:
RV·N0003101
UNIVERSITY OF IOWA 120 JESSUP HALL
1,1,1"11,1111,1,111111111'11111111'11111,1111111,111111111,11
ASSISTANCE
For additional information, contact the Taxpayer and
Vehicle Services Division in one of our Department of Revenue Offices:
Chattanooga
Jackson
(423)
634-6266
(731)
423-5747
Suite
350
340
State
Office
Building
Lowell
Thomas Building
540
McCallie
Avenue
225 Martin Luther King Blvd.
Johnson
City
Knoxville
(423) 854-5321
(865)
594-6100
204 High
Point
Drive
Room 606
531
Henley
Street
Memphis
Nashville
(901)
213-1400
(615) 253-0600
3150
Appling Road
3rd
Floor, AJ
Bartlett
500
Deaderick
www.tennessee.qov/revenue
For additional information or assIstance regarding this notice, you should contact the Department of Revenue. Tennessee residents may use the toll-free
number, 1-800-342-1003. Nashville area and out-of-state callers may call (615)253-0600. Hearing Impaired may call TDD at (615)741-7398. You may call either of these numbers between 8:00 a.m. and 4:30 p.m. (CT), Monday through Friday, holidays excepted. You may direct any correspondence or submit
written information to the following address: Tennessee Department of Revenue, 500 Deaderick Street, Nashville, TN 37242. Please provide your account number and notice number when inquiring about the notice.
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