2027-233 Attachment C Purchase Exemption Certificate.pdf
PDF 122 KB Posted
- Solicitation number
- RFB 025 2700000165 2
- Issued by
- Elliott County, Kentucky
About this file
This is a Purchase Exemption Certificate attached to RFB 2027-233 for the Court of Appeals Building Construction project in Kentucky. The certificate serves as documentation permitting the purchaser to acquire specified materials or equipment without paying sales tax, contingent upon the items meeting exemption criteria under Kentucky tax law. The document functions as a formal attestation of the purchasing entity's tax-exempt status and authorizes vendors to process transactions without collecting sales tax on qualifying purchases related to the construction project.
The exemption certificate requires completion of identifying information including the purchaser's name, address, tax identification details, and a description of the materials or services being purchased. The certificate must be provided to vendors at the time of purchase to validate the tax-exempt transaction. This document is standard practice for government entities and tax-exempt organizations undertaking capital projects, allowing them to reduce project costs by eliminating sales tax obligations on materials and equipment incorporated into the Court of Appeals Building Construction project.
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Text version
Exemption Number Name of Exempt Institution
Important—Certifi cate not valid unless completed.
PURCHASE EXEMPTION
CERTIFICATE
Check Applicable Block Blanket Single Purchase
I hereby certify that ___________________________________ is a Kentucky resident, nonprofi t educational, charitable or religious institution, or Kentucky historical site, located at ___________________________, Kentucky and that the tangible personal property, digital property or services to be purchased from _____________________________________________ will be used solely within the exempt function of a charitable, educational or religious institution, or historical site.
Description of property to be purchased: ____________________________________________________________________
In the event that the property purchased is not used for an exempt purpose, it is understood that I am required to pay the tax measured by the purchase price of the property.
Any offi cial or employee who uses this certifi cate to make tax-free purchases for his own personal use or that of any other person will be subject to the penalties provided in KRS 139.990 and other applicable laws.
Under penalties of perjury, I swear or affi rm that the information on this certifi cate is true and correct as to every material matter.
Name of Exempt Institution
Name of Vendor
Address
CAUTION TO SELLER: This certifi cate cannot be issued or used in any way by a construction contractor to purchase property to be used in fulfi lling a contract with an exempt institution.
Sellers accepting certifi cates for such purchases will be held liable for the sales or use tax.
Authorized Signature Title
Date
DEPARTMENT OF REVENUE
Frankfort, Kentucky 40620 51A126 (12-09)
Commonwealth of Kentucky - Administrative Office of the Courts (AOC)
1001 Vandalay Drive Frankfort
Administrative Office of the Courts (AOC).
All equipment, goods, maintenance, and services to provided or sold to the
Executive Officer, Department of Financial Services
6/24/2025
ST37-160
x
Administrative Office of the Courts
ATTACHMENT C
File details come from the government source that posted it. Updated .