Locks Utah State Sales Tax Exemption Form ( With Glens Key Filled In) TC 721 2000Glens
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Acct# Utah State Tax Commission TC-721 Exemption Certificate Rev. 8/00 (Sales, Use, Tourism and Motor Vehicle Rental Tax) Name of business or institution claiming exemption (purchaser) Street address Telephone number City Authorized signature Name of Vendor or Supplier: Name (please print) Glens Key, Inc. State ZIP Title Date The person signing this certificate MUST check the applicable box showing the basis for which the exemption is being claimed. Questions should be directed (preferably in writing) to Taxpayer Services, Utah State Tax Commission, 210 N 1950 W, SLC Utah 84134. Telephone (801) 297-2200, or toll free 1-800-662-4335. DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION Keep it with your records in case of an audit. Sales tax account numbers with an “H” prefix are not to be used for tax-free purchases for resale. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ RESALE OR RE-LEASE Sales Tax License No. __________________________ I certify that I am a dealer in tangible personal property or services and that the tangible personal property or services purchased are for resale or re-lease. If I use or consume any tangible personal property or services that I purchase tax free for resale, or if my sales are of food, beverages, dairy products and similar confections dispensed from vending machines (see Rule R865-19S-74), I will report and pay sales tax on the proper cost thereof directly to the Tax Commission on my next regular sales and use tax return. AGRICULTURAL PRODUCER I certify that the items purchased will be used primarily and directly in a commercial farming operation and qualify for the Utah sales and use tax exemption. Failure to report these sales on the informational lines of the vendor’s sales and use tax return may subject the seller to a penalty equal to the lesser of $1000 or 10% of the sales and use tax that would have been imposed if the exemption had not applied. BUILDING MATERIALS USED OUTSIDE UTAH I certify that the building materials and equipment purchased will be incorporated into real property outside the State of Utah, and that the state of use will not allow credit for sales or use tax paid to Utah. Vendor invoice number: _______________________________________________ Date: _____________________________________ Location of job outside Utah: ______________________________________________________________________________________ COMMERCIAL AIRLINES I certify that the food and beverages purchased are by a commercial airline for in-flight consumption; or, any parts or equipment purchased are for use in aircraft operated by common carriers in interstate or foreign commerce. COMMERCIALS, FILMS, AUDIO AND VIDEO TAPES I certify that purchases of commercials, films, prerecorded video tapes, prerecorded audio program tapes or records are for sale or distribution to motion picture exhibitors, or commercial television or radio broadcasters. If I subsequently resell items to any other customer, or use or consume any of these items, I will report any tax liability directly to the Tax Commission. CONSTRUCTION MATERIALS PURCHASED FOR SCHOOLS OR RELIGIOUS AND CHARITABLE ORGANIZATIONS I certify that the construction materials purchased are purchased on behalf of a public elementary or secondary school or religious or charitable organization. I further certify that the purchased construction materials will be installed or converted into real property owned by the school or religious or charitable organization. Name of school or religious or charitable organization: __________________________________________________________________ Name of project: ________________________________________________________________________________________________ FUELS, GAS, ELECTRICITY Sales Tax License No. __________________________ I certify that all gas, electricity, coal, coke, and other fuel purchased will be used for industrial use only and not for residential or commercial purposes. Include the business Standard Industrial Code, and state the predominant use of the fuel covered by the exemption. Standard Industrial Code: ________________ Use of the fuel: _________________________________________________________ HOME MEDICAL EQUIPMENT Please return completed certificate to: I certify that the medical equipment purchased is eligible for payment under Title 18 or Title 19 of the federal Social Security Act, is prescribed or authorized by a licensed physician for the treatment of a medical illness or injury or as necessary to mitigate an impairment resulting from Phone (801) 355-3413 Glens Key & Safe Company illness or injury, and will be used exclusively by the person for whom it was prescribed. SALES OF SPAS OR SAUNAS ARE TAXABLE. 1147 S. State St. FAX (801) 355-3414 LEASEBACKS Salt Lake City, UT 84111-4596 I certify that the tangible personal property leased satisfies the following conditions: (1) the property is part of a sale-leaseback transaction; (2) sales or use tax was paid on the initial purchase of the property; and, (3) the leased property will be capitalized and the lease payments will be accounted for as payments made under a financing arrangement. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ MANUFACTURING MACHINERY AND EQUIPMENT EXEMPTION FOR NEW OR EXPANDING OPERATIONS, NORMAL OPERATING REPLACEMENTS, OR SCRAP RECYCLING Sales Tax License No. __________________________ I certify that the manufacturing machinery or equipment purchased is for use in new or expanding operations or for normal operating replacements in a Utah manufacturing facility described within the SIC Codes of 2000-3999 or in a qualifying scrap recycling operation. This exemption does not apply to parts or services for repairs or maintenence. A SEPARATE EXEMPTION CERTIFICATE MUST BE PRESENTED FOR EACH SUBSEQUENT PURCHASE, AT THE TIME OF PURCHASE. Failure to report these purchases on the informational lines of the manufacturer’s or scrap recycler’s sales and use tax return may subject the manufacturer or scrap recycler to a penalty equal to the lesser of $1000 or 10% of the sales and use tax that would have been imposed if the exemption had not applied. MUNICIPAL ENERGY SALES AND USE TAX EXEMPTION I certify that the natural gas or electricity purchased: is for resale; is prohibited from taxation by federal law, the U.S. Constitution, or the Utah Constitution; is for use in compounding or producing taxable energy; is subject to tax under the Motor and Special Fuel Tax Act; is used for a purpose other than as a fuel; is used by an entity exempted by municipal ordinance; or is for use outside a municipality imposing a municipal energy sales and use tax. The normal sales tax exemptions under Utah Code Section 59-12-104 do not apply to the Municipal Energy Sales and Use Tax. POLLUTION CONTROL FACILITY Sales Tax License No. __________________________ I certify that our company has been granted a “Certification of Facilities” as provided for by Utah Code Ann. Sections 19-2-123 through 192-127 and as explained in Sales Tax Rule R865-19S-83 by either the Air Quality Board or the Water Quality Board. I further certify that each item of tangible personal property purchased under this exemption is qualifying machinery or equipment for this purpose. RELIGIOUS OR CHARITABLE INSTITUTION Sales Tax Exemption No. __________________________ I certify that the tangible personal property or services purchased will be used or consumed for essential religious or charitable purposes. This exemption can only be used on purchases totaling $1,000 or more, unless the sale is pursuant to a contract between the vendor and purchaser. CAUTION: The normal charitable and religious exemption does not apply to purchases of Olympic merchandise unless the exempt entity is purchasing Olympic merchandise for resale. I certify that any Olympic merchandise purchased under this exemption will be resold and that I have obtained a Utah sales and use tax account number for this purpose. SKI RESORT EXEMPTION Sales Tax License No. __________________________ I certify that the snowmaking equipment, ski slope grooming equipment or passenger ropeways purchased are to be paid directly with funds from the ski resort noted on the front page of this form. Failure to report these purchases on the informational lines of the ski resort’s sales and use tax return may subject the ski resort to a penalty equal to the lesser of $1000 or 10% of the sales and use tax that would have been imposed if the exemption had not applied. STEEL MILL EXEMPTION I certify that the rolls, rollers, refractory brick, electric motors or other replacement parts will be used in the furnaces, mills or ovens of a steel mill as described in SIC code 3312. TOURISM/MOTOR VEHICLE RENTAL TAX EXEMPTION I certify that the motor vehicle being leased or rented will be temporarily used to replace a motor vehicle that is being repaired pursuant to a repair or an insurance agreement; that the lease will exceed 30 days; that the motor vehicle being leased or rented is registered for a gross laden weight of 12,001 pounds or more; or, that the motor vehicle is being rented or leased as a personal household goods moving van. This exemption applies only to the tourism tax (up to 7 percent) and the short-term motor vehicle rental tax (Transportation Corridor Funding – 2.5 percent) – not to the state, local, transit, zoo, hospital, highways, county option or resort sales tax. UNITED STATES GOVERNMENTAL EXEMPTION I certify that the tangible personal property or services purchased are to be paid directly with funds from the entity noted on the front page of this form and will be used in the exercise of essential governmental functions. “Directly” does not include per diem, entity advances, or similar indirect payments. UTAH STATE AND LOCAL GOVERNMENTS AND PUBLIC ELEMENTARY AND SECONDARY SCHOOLS Sales Tax License No. __________________________ I certify that the tangible personal property or services purchased are to be paid directly with funds from the entity noted on the front page of this form and will be used in the exercise of that entity’s essential functions. If the purchaser noted on the front page of this form is a Utah state or local government, I certify that these construction materials will be installed or converted into real property by employees of this government entity. If the purchaser noted on the front page of this form is a public elementary or secondary school, I certify that these construction materials will be installed or converted into real property owned by this school. “Directly” does not include per diem, entity advances, or similar indirect payments. CAUTION: This exemption does not apply to government or educational entities of any other states. To be valid this certificate must be filled in completely, including a check mark in the proper box. Please sign, date and, if applicable, include your license or exemption number. NOTE TO VENDOR – Keep this certificate on file since it must be available for audit review. NOTE TO PURCHASER – Keep a copy of this certificate for your records. You are responsible to notify the vendor of cancellation, modification, or limitation of the exemption you have claimed. If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at (801) 297-3811 or TDD (801) 297-3819. Please allow three working days for a response. DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION Keep it with your records in case of an audit.
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