Locks Form ST 121 Exempt Use
User Manual: Locks Exempt Use Mayflower Sales - Your Source for Architectural Hardware & Locksmith Supplies
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Page Count: 4
Name of seller Name of purchaser
Street address Street address
City State ZIP code City State ZIP code
Mark an X in the appropriate box: Single-purchase certicate Blanket certicate
This form cannot be used to purchase motor fuel or diesel motor fuel exempt from tax except as described in the
instructions for item U on page 4.
F.
Purchases of the following used or consumed in
the production of tangible personal property (or a
lm, regardless as to the means by which the lm is
conveyed) for sale (mark an X in one or more boxes):
fuel gas electricity
refrigeration steam
gas, electric, refrigeration, or steam service
Enter Certificate of Authority number here
Purchases described in item G are exempt from all
state and local sales and use taxes when delivered
or used outside New York City, but subject to New
York City local sales and use tax when delivered or
used in New York City.
G. Purchases of the following used or consumed in
the production of gas, electricity, refrigeration, or
steam for sale (mark an X in one or more boxes):
fuel gas electricity
refrigeration steam
gas, electric, refrigeration, or steam service
Enter Certificate of Authority number here
New York State Department of Taxation and Finance
New York State and Local Sales and Use Tax
Exempt Use Certificate
Please read the instructions on pages 3 and 4 for more information on each exemption, and mark an X in the
applicable box(es) next to the exemption(s) you are claiming.
A. Machinery and equipment, parts, tools, and
supplies used or consumed in the production
of tangible personal property for sale or in the
production of gas, electricity, refrigeration, or steam,
for sale. Enter Certificate of Authority number here
B. Tangible personal property used or consumed in
the production of a lm for sale. Enter Certificate of
Authority number here
C. Tangible personal property used or consumed in
providing telecommunications or Internet access
services for sale. Enter Certificate of Authority
number here
If you are engaged exclusively in providing Internet
access services for sale, a Certificate of Authority
is not required when claiming this exemption;
however, if you have a Certificate of Authority, enter
the number in the space provided.
D. Machinery, equipment, or other tangible personal
property (including parts, tools, and supplies) used
or consumed by television or radio broadcasters in
the production or transmission of live or recorded
programs which are used by the broadcaster for
specied purposes. Enter Certificate of Authority
number here
E. Purchases of gas or electricity or gas or electric
service used to provide gas or electric service
consisting of operating a gas pipeline, an electric
transmission line, or a gas or electric distribution
line. Enter Certificate of Authority number here
ST-121
(1/11)
Note: This certificate is not valid unless the purchaser completes the certification on page 2.
The purchase I am making is exempt from state and local sales and use taxes because the property
or service(s) will be used for the exempt purpose indicated below and as explained in the instructions.
Purchases described in items A through F are exempt from all state and local sales and use taxes. Except as
described in item C, you must have a Certificate of Authority to claim the exemptions listed in Part 1.
Part 1 — Exemptions related to production
Pages 1 and 2 must
be completed by the
purchaser and given
to the seller
Page 2 of 4 ST-121 (1/11)
Part 2 — Services exempt from tax (exempt from all state and local sales and use taxes)
Enter Certificate of Authority number here (if applicable)
H. Installing, repairing, maintaining, or servicing qualifying property listed in Part 1, items A through D. Please
indicate the type of qualifying property being serviced by marking an X in the applicable box(es):
A B C D
I.
Producing, fabricating, processing, printing, and imprinting, including editing, dubbing, and mixing, qualifying
property listed in Part 1, items B and D. Please indicate the type of qualifying property being serviced by marking an
X in the applicable
box(es): B D
J. Removal of waste material from a facility regulated by the Department of Environmental Conservation (DEC) as
either a transfer station or as a construction and demolition debris processing facility.
Q. Commercial shing vessels (including certain
property).
R. Pollution control equipment.
S. Tangible personal property (including lubricants)
used in the services of maintenance, service,
repair, or installation performed on any aircraft by
such person providing such service.
Purchases described in item T are subject to New
York City local sales tax.
T. Machinery and equipment used directly and
predominantly in loading, unloading, and
handling cargo at a qualied marine terminal
facility in New York City.
U. Other — Describe exempt use and identify the
section of the Tax Law covering this exemption
(see instructions).
K. Tangible personal property used in research and
development.
L. Purchases of the following used in research and
development (mark an X in one or more boxes):
gas electricity
refrigeration steam
gas, electric, refrigeration, or steam service
M. Cartons, containers, and other wrapping and
packaging materials and supplies that are actually
transferred to the purchaser.
N. Certied enhanced emissions inspection equipment
for testing and inspecting motor vehicles. Enter
your inspection station license number here
O. Commercial vessels (including certain property and
services).
P. Commercial aircraft (including certain machinery
and equipment) and ight simulators purchased by
commercial airlines.
Part 3 — Other exemptions
A Certificate of Authority is not required when claiming the exemptions described below. However, if you
have a Certificate of Authority, enter the number here
Type or print name and title of owner, partner, or authorized person of purchaser
Signature of owner, partner, or authorized person of purchaser Date prepared
Certification: I certify that the above statements are true, complete, and correct, and that no material information has been omitted.
I make these statements and issue this exemption certificate with the knowledge that this document provides evidence that state and
local sales or use taxes do not apply to a transaction or transactions for which I tendered this document and that willfully issuing this
document with the intent to evade any such tax may constitute a felony or other crime under New York State Law, punishable by a
substantial fine and a possible jail sentence. I understand that this document is required to be filed with, and delivered to, the vendor
as agent for the Tax Department for the purposes of Tax Law section 1838 and is deemed a document required to be filed with the
Tax Department for the purpose of prosecution of offenses. I also understand that the Tax Department is authorized to investigate the
validity of tax exclusions or exemptions claimed and the accuracy of any information entered on this document.
To the purchaser
If you have a valid Certificate of Authority, you may use Form ST-121 to
purchase, rent, or lease tangible personal property or services exempt
from tax to the extent indicated in these instructions. Complete all
required entries on the form and give it to the seller.
You may use Form ST-121 as a blanket certicate covering the rst and
subsequent purchases of the same general type of property or service.
However, each subsequent sales slip or purchase invoice (excluding
utility bills) based on this blanket certicate must show your name,
address, and Certificate of Authority identication number.
If you make further purchases from the seller that do not qualify for
the exemption, you must pay the appropriate sales tax at the time of
purchase.
As used in this document, the term predominantly means that the
property or service(s) is used more than 50% of the time directly for the
purpose stated in the particular section. The term exclusively means
that the property or service(s) is used 100% of the time directly for the
purpose stated in the particular section. The term primarily means that
the property or service(s) is used 50% or more of the time directly for the
purpose stated in the particular section.
Part 1 — Exemptions related to production
Except as described in item C, you must have a Certificate of Authority
to claim the exemptions listed in Part 1.
A — You may purchase, exempt from tax, machinery and equipment,
including parts, tools, and supplies, used or consumed directly
and predominantly in the production of tangible personal property,
gas, electricity, refrigeration, or steam for sale by manufacturing,
processing, generating, assembling, rening, mining, or extracting.
For more information on these various production exemptions, see
Publication 852, Sales Tax Information for: Manufacturers, Processors,
Generators, Assemblers, Refiners, Miners and Extractors, and Other
Producers of Goods and Merchandise.
B — You may purchase, exempt from tax, tangible personal property
used directly and predominantly in the production (including editing,
dubbing, and mixing) of a lm for sale regardless of the medium by
which the lm is conveyed to the purchaser. (For purposes of this
exemption, the term film means feature lms, documentary lms, shorts,
television lms, television commercials, and similar productions.)
C — You may purchase, exempt from tax, tangible personal property
used directly and predominantly in the receiving, initiating, amplifying,
processing, transmitting, retransmitting, switching, or monitoring of
switching of telecommunications services for sale, or Internet access
services for sale, or any combination of the two services. If you are
engaged exclusively in providing Internet access services for sale, a
Certificate of Authority is not required when claiming this exemption;
however, if you have a Certificate of Authority, enter the number in the
space provided on page 1.
D — You may purchase, exempt from tax, machinery, equipment, or
other tangible personal property (including parts, tools, and supplies)
used or consumed by television or radio broadcasters directly
and predominantly in the production (including post-production)
of live or recorded programs which are used or consumed by a
broadcaster predominantly for the purpose of broadcast over the
air by the broadcaster or for transmission through a cable television
or direct-broadcast satellite system by the broadcaster. You may
also purchase, exempt from tax, machinery, equipment, and other
tangible personal property (including parts, tools, and supplies) used
or consumed directly and predominantly in the transmission of live
or recorded programs over the air or through a cable television or
direct-broadcast satellite system by the broadcaster. Tangible personal
property purchased by a broadcaster (lessor) for lease to another person
(lessee) for that person’s use or consumption directly and predominantly
in the production (including post production) of live or recorded programs
by the person will be deemed to be used or consumed by the lessor
broadcaster for purposes of determining whether the lessor broadcaster
has met the direct and predominant use requirement of the exemption
described in the above sentence. (For more information concerning this
exemption, see TSB-M-00(6)S, Summary of the 2000 Sales and
Compensating Use Tax Budget Legislation.)
E — You may purchase, exempt from tax, gas or electricity or gas or
electric service used or consumed directly and exclusively to provide
ST-121 (1/11) Page 3 of 4
Instructions
gas or electric service of whatever nature consisting of operating a gas
pipeline, a gas distribution line, or an electric transmission or distribution
line or to ensure the necessary working pressure in an underground gas
storage facility.
F —You may purchase, exempt from tax, fuel, gas, electricity,
refrigeration, and steam and gas, electric, refrigeration, and steam
service used or consumed directly and exclusively in the production
of tangible personal property (or a lm, regardless as to the means by
which the lm is conveyed) for sale, by manufacturing, processing,
assembling, generating, rening, mining, or extracting. You must pay
any state and local taxes due on any part of any fuel or utility service
not used directly and exclusively for an exempt purpose. For example,
electricity purchased solely to light a factory must be purchased tax
paid, but electricity used for both an exempt purpose and a taxable
purpose may be purchased exempt from tax. However, you must report
the tax due on the electricity used for the taxable purpose on your sales
and use tax return as a purchase subject to tax.
G —You may purchase, exempt from tax (except for the local tax
imposed on sales and uses in New York City), fuel, gas, electricity,
refrigeration, and steam and gas, electric, refrigeration, and steam
service used or consumed directly and exclusively in the production
of gas, electricity, refrigeration, and steam for sale by manufacturing,
processing, assembling, generating, rening, mining, or extracting. You
must pay any state and local taxes due on any part of any fuel or utility
service not used directly and exclusively for an exempt purpose.
Part 2 — Services exempt from tax
H — You may purchase the services of installing, repairing, maintaining,
and servicing qualifying property listed in Part 1, items A through D,
exempt from tax.
I — You may purchase the services of producing, fabricating,
processing, printing, and imprinting, including editing, dubbing, and
mixing, qualifying property listed in Part 1, items B and D, exempt from tax.
J — If you are a facility regulated by the DEC as either a transfer station
or construction and demolition debris processing facility, you may
purchase the service of waste removal exempt from tax, provided that
the waste is not generated by your facility. Under the DEC regulations, a
transfer station is dened generally as a solid waste management facility
other than a recyclables handling and recovery facility, used oil facility,
or a construction and demolition debris processing facility, where solid
waste is received for the purpose of subsequent transfer to another
solid waste management facility for further processing, treating, transfer,
or disposal. A construction and demolition debris processing facility
is a processing facility that receives and processes construction and
demolition debris by any means.
Part 3 — Other exemptions
A Certificate of Authority is not required when claiming the exemptions
described in Part 3 on page 2. However, if you have a Certificate of
Authority, enter the number in the space provided on page 2.
K — Tangible personal property used or consumed directly and
predominantly in research and development in the experimental or
laboratory sense is exempt from tax.
L — Gas, electricity, refrigeration, and steam, and gas, electric,
refrigeration, and steam service used or consumed directly and
exclusively in research and development in the experimental or
laboratory sense may be purchased exempt from tax.
Research and development does not include the ordinary testing or
inspection of materials or products for quality control, efciency surveys,
management studies, consumer surveys, advertising, promotions, or
research in connection with literary, historical, or similar projects.
M—Vendors may purchase, exempt from tax, cartons, containers, and
other wrapping and packaging materials and supplies and components
thereof used to package tangible personal property for sale if the
property is actually transferred by the vendor to the purchaser of the
property.
N — Enhanced emissions inspection equipment certied by the DEC
for use in testing and inspecting motor vehicles as part of the enhanced
emissions inspection and maintenance program required by the Federal
Clean Air Act and the New York State Clean Air Compliance Act may
be purchased without payment of tax. To qualify for the exemption,
the equipment must be purchased and used by an ofcial inspection
station which is licensed by the Department of Motor Vehicles and
authorized to conduct enhanced emissions inspections. (For more
Need help?
Sales Tax Information Center: (518) 485-2889
To order forms and publications: (518) 457-5431
Text Telephone (TTY) Hotline
(for persons with hearing and
speech disabilities using a TTY): (518) 485-5082
Internet access: www.tax.ny.gov
(for information, forms, and publications)
information about enhanced emissions inspection equipment, see
TSB-M-97(8)S, Enhanced Emissions Inspection Equipment.)
O — Commercial vessels, including property used by or purchased for
the use of these vessels for fuel, provisions, supplies, maintenance,
and repairs, and the services of installing, maintaining, servicing, or
repairing these vessels or property, may be purchased exempt from tax.
To qualify for the exemption, the commercial vessel must be primarily
engaged in interstate or foreign commerce. The exemption does not
apply to property purchased for or used in the original equipping of a
new ship, or to the services of installing this property in the equipping
of a new ship. (For the denition of commercial vessels and other
information concerning this exemption, see TSB-M-96(14)S, Tax Law
Defines Commercial Vessels and Commercial Aircraft.)
P — Commercial aircraft and machinery or equipment to be installed
on this aircraft, property used for maintenance or repair of this
aircraft, and ight simulators purchased by commercial airlines may
be purchased exempt from tax. To qualify for the exemption, the
commercial aircraft must be primarily engaged in intrastate, interstate,
or foreign commerce. (For the denition of commercial aircraft and other
information concerning this exemption, see TSB-M-96(14)S.)
Q — Commercial shing vessels used directly and predominantly in
the harvesting of sh for sale (other than sport shing vessels), including
property used by or purchased for the use of these vessels for fuel,
provisions, supplies, maintenance, and repairs may be purchased
exempt from tax. (For the denition of commercial shing vessels and
other information concerning this exemption, see TSB-M-85(17)S, 1985
Legislation - Chapter 799 Sales Tax Exemption for Commercial Fishing
Vessels.)
R — If not otherwise exempt, machinery and equipment used directly
and predominantly in the control, prevention, or abatement of pollution
or contaminants from manufacturing or industrial facilities may be
purchased exempt from tax.
S — Tangible personal property purchased and used in the services of
maintenance, service, repair or installation performed on any aircraft,
where such property is purchased by the person providing such
services and it becomes a physical component part of the aircraft or is a
lubricant applied to the aircraft, is exempt from tax.
T — Machinery and equipment used at qualied marine terminal
facilities located in New York City. The machinery and equipment must
be used directly and predominantly in loading, unloading, and handling
cargo at marine terminal facilities located in New York City which
handled more than 350,000 twenty foot equivalent units (TEUs) in 2003.
For purposes of this exemption, the term TEU means a unit of volume
equivalent to the volume of a twenty-foot container. This exemption
does not apply to the local tax in New York City.
U — Use this line to claim exemption from all sales and use taxes on
qualied tangible personal property or services not otherwise specied
in this certicate. Describe the exempt use of the tangible personal
property or service being purchased, and identify the applicable section
of the Tax Law under which you claim exemption.
If you are purchasing motor fuel or diesel motor fuel eligible to be
taxed on a cents-per-gallon basis, write Tax Law section 1111(m)
qualified fuel taxed using the cents-per-gallon method in the space
provided. See TSB-M-06(8)S, New Guidelines on the Sales of Motor
Fuel and Diesel Motor Fuel Subject to the Cents-Per-Gallon Sales Tax,
for additional information.
Line access services purchased by an Internet Service Provider (ISP)
and used for transmission between the ISP point of presence and the
public Internet for the purpose of connecting the ISP’s customers to the
Internet are purchases of interstate or international telephony and thus
are not subject to sales tax. If you are an ISP purchasing line access
services to use in this manner, write
telecommunications services
used by an ISP to provide Internet access originating with the ISP
point of presence (Tax Law section 1105 (b)(1)) in the space provided.
See TSB-M-07(2)S, Sales Tax Treatment of Telecommunications
Services Purchased By an Internet Service Provider, for additional
information.
Certain military decorations, including ribbons, medals, mini-medals,
and lapel pins, are exempt from sales tax when sold to an active
member or a veteran of the United States military. If you are purchasing
tax-exempt military decorations, write military decoration – Tax Law
section 1115 (a)(11-a) in the space provided. The Tax Law provides
that you must also show the vendor your military identication or other
documentation (such as discharge papers) as proof of current military
service or veteran status. However, the vendor is not required to retain a
copy of this proof
.
To the seller
The purchaser must give you Form ST-121 with all entries completed
no later than 90 days after delivery of the property, or the sale will
be deemed to have been taxable at the time of the transaction. If
you receive the certicate after the 90-day period, both you and the
purchaser assume the burden of proving the sale was exempt, and
additional substantiation may be required.
In addition, if you fail to collect tax as a result of accepting an
improperly completed exemption certicate, you become personally
liable for the tax plus any penalty and interest charges due, unless
the certicate is corrected within a reasonable period of time or you
otherwise prove that the transaction was not subject to tax. You must
keep any exemption certicate you receive for at least three years
after the due date of the last return to which it relates, or the date the
return is led, if later. You must also maintain a method of associating
an exempt sale made to a particular customer with the exemption
certicate you have on le for that customer.
If the Blanket certificate box is marked on page 1, you may consider
this certicate part of any order received from the purchaser during
the period that the blanket certicate remains in effect. However,
each subsequent sales slip or purchase invoice based on this blanket
certicate must show the purchaser’s name and address. A blanket
certicate remains in effect until the purchaser gives you written notice
of revocation, or you have knowledge that the certicate is false or was
fraudulently presented, or until the Tax Department noties you that the
purchaser may not make exempt purchases.
Misuse of this certificate
Misuse of this exemption certificate may subject you to serious civil
and criminal sanctions in addition to the payment of any tax and
interest due. These include:
• A penalty equal to 100% of the tax due;
• A $50 penalty for each fraudulent exemption certificate issued;
• Criminal felony prosecution, punishable by a substantial fine and a
possible jail sentence; and
• Revocation of your Certificate of Authority, if you are required to
be registered as a vendor. See TSB-M-09(17)S, Amendments that
Encourage Compliance with the Tax Law and Enhance the Tax
Department’s Enforcement Ability, for more information.
Page 4 of 4 ST-121 (1/11)
Privacy notification
The Commissioner of Taxation and Finance may collect and maintain personal
information pursuant to the New York State Tax Law, including but not limited to,
sections 5-a, 171, 171-a, 287, 308, 429, 475, 505, 697, 1096, 1142, and 1415
of that Law; and may require disclosure of social security numbers pursuant to
42 USC 405(c)(2)(C)(i).
This information will be used to determine and administer tax liabilities and, when
authorized by law, for certain tax offset and exchange of tax information programs
as well as for any other lawful purpose.
Information concerning quarterly wages paid to employees is provided to certain
state agencies for purposes of fraud prevention, support enforcement, evaluation
of the effectiveness of certain employment and training programs and other
purposes authorized by law.
Failure to provide the required information may subject you to civil or criminal
penalties, or both, under the Tax Law.
This information is maintained by the Manager of Document Management,
NYS Tax Department, W A Harriman Campus, Albany NY 12227; telephone
(518) 457-5181.
