Attachment 3 Texas Form 01-339.pdf

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Replace Four Hot Deck Air Handlers in Bldg 22 in Lubbock, TX
Solicitation number
1232SA25Q0599
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This document is a Texas Sales and Use Tax Exemption Certification form designed for purchasers claiming sales tax exemption on taxable items. The form requires the purchaser to provide details about the seller, description of items to be purchased, and the reason for the exemption. The document emphasizes that the certificate does not require a number to be valid and warns that it is a criminal offense to misuse the exemption, with potential penalties ranging from a Class C misdemeanor to a felony of the second degree.

Key notable details include a warning that the certificate cannot be issued for motor vehicle purchases, and instructions state that the completed form should be furnished to the supplier but not sent to the Comptroller of Public Accounts. The form includes sections for the purchaser's name, address, contact information, seller details, item description, exemption reason, and a signature area with space for the purchaser's title and date of signing.

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Other files

File Type Posted
Attachment 4 Exemption Verification Letter - Texas.pdf PDF
Attachment 2 WD 2015-5243 Rev 27 Dated 8 July 2025.pdf PDF
Combined Synopsis Solicitation 1232SA25Q0599.pdf PDF
Attachment 1 Statement of Work.docx DOCX document

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01-339 (Back) (Rev.4-13/8)

Texas Sales and Use Tax Exemption Certification This certificate does not require a number to be valid.

Name of purchaser, firm or agency

Address (Street & number, P.O. Box or Route number) Phone (Area code and number)

City, State, ZIP code

I, the purchaser named above, claim an exemption from payment of sales and use taxes (for the purchase of taxable items described below or on the attached order or invoice) from:

Seller:

Street address: City, State, ZIP code:

Description of items to be purchased or on the attached order or invoice:

Purchaser claims this exemption for the following reason:

I understand that I will be liable for payment of all state and local sales or use taxes which may become due for failure to comply with the provisions of the Tax Code and/or all applicable law.

I understand that it is a criminal offense to give an exemption certificate to the seller for taxable items that I know, at the time of purchase, will be used in a manner other than that expressed in this certificate, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.

Purchaser Title Date

Sal

NOTE: This certificate cannot be issued for the purchase, lease, or rental of a motor vehicle.

THIS CERTIFICATE DOES NOT REQUIRE A NUMBER TO BE VALID.

es and Use Tax "Exemption Numbers" or "Tax Exempt" Numbers do not exist.

This certificate should be furnished to the supplier.

Do not send the completed certificate to the Comptroller of Public Accounts.

Exemption purchaser:
Exemption purchaser street:
Exemption purchaser phone:
Exemption purchaser city:
Exempt seller:
Exempt seller street:
Exempt seller city:
Exempt item description:
Exemption reason:
Exempt purchaser title:
Exempt purchaser sig date:
clear2:
SaveAs1:

File details come from the government source that posted it. Updated .