ESBD_551930_1787256546048_Attachment E - Tax Exemption Certificate.pdf
PDF 22 KB Posted
- Attached to
- 25-021 RFCSP Plaza Verde HVAC Replacement
- Solicitation number
- 25-021RFCSP
- Issued by
- Texas
About this file
This is a Texas Sales and Use Tax Exemption Certificate (Form 01-339) applicable to the Plaza Verde HVAC Replacement project in Texas. The form serves as a standardized exemption document that allows qualified purchasers to claim exemptions from state and local sales and use taxes on taxable items. The certificate requires the purchaser to identify themselves, provide their contact information and address, specify the seller details, and describe the items to be purchased along with the exemption basis. The document is valid without requiring an exemption number and should be furnished directly to the supplier rather than submitted to the Texas Comptroller of Public Accounts.
The certificate includes important legal provisions informing the purchaser of their liability for all applicable state and local sales and use taxes if exemption requirements are not met, and establishes that providing a false exemption certificate for items used contrary to the stated purpose constitutes a criminal offense ranging from a Class C misdemeanor to a felony of the second degree depending on the tax amount involved. The form explicitly excludes purchases, leases, or rentals of motor vehicles from exemption eligibility. The document contains blank fields for the purchaser to complete exemption details including item descriptions, exemption reasons, and seller information, allowing flexibility for various project-specific applications.
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Text version
01-339 (Back)
(Rev.7-10/7)
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:
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 claims this exemption for the following reason:
Purchaser Title Date
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.
Sales 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 item description lines: ______________________________________________________________________________________________ |
Exemption reason lines: ______________________________________________________________________________________________
| Exempt seller: |
| Exempt seller street: |
| Exempt seller city: |
| Exempt item description: |
| Exemption reason: |
| Exempt purchaser title: |
| Exempt purchaser sig date: |
| clear2: |
| SaveAs1: |
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