EXEMPTION CERTIFICATE
PRINTED MATERIALS TO BE MAILED PARTLY OUTSIDE FLORIDA
______________________________ (Name of Purchaser of Printed Materials) certifies that he or she has placed an order, dated or numbered or otherwise described as follows:
__________________________________________________with _______________________________ (Name of Printing Facility) for the printing of certain materials, and as a part of that order the Printing Facility has agreed to deliver the printed materials to the United States Postal Service for mailing to an agreed list of persons.
The above-named Purchaser further certifies that, based on the mailing list, more than an unsubstantial part of the printed materials will be mailed to persons located outside Florida.
The Purchaser understands that, as a result of this certification, the Printing Facility has no obligation to collect any sales or use tax for the printed materials from the Purchaser, and that the Purchaser must pay sales or use tax directly to the Department of Revenue for all printed materials in the above order that are mailed to persons located within Florida. Such tax is due on the first day of the month following the sale of the materials and is delinquent on the 21st day of that month.
Under the penalties of perjury, I declare that I have read the foregoing Exemption Certificate for Printed Material to be Mailed Partly Outside Florida, and the facts stated in it are true.
_________________________________ | _________________________________ |
Purchaser's Name (Print or Type) | Florida Sales Tax Number (if registered) |
_________________________________ | _________________________________ |
Signature and Title | Date |
_________________________________ | _________________________________ |
Federal Employer Identification Number | Telephone Number |
(F.E.I.) or Social Security Number |
(Form to be retained in Printing Facility's records)
EXEMPTION CERTIFICATE
PRINTED MATERIAL PURCHASED BY A NONRESIDENT PURCHASER
Name of Printer: ____________________________________________________________________________________________
Address of Printer: ____________________________________________________________________________________ (Street)
_________________________________(City) ______________________________________________________________ (State)
This is to certify that all tangible personal property purchased after __________ (date) by the undersigned purchaser of printed material, who is not a dealer required to obtain a certificate of registration with the Florida Department of Revenue under the provisions of Section 212.0596(2), F.S., from the above named Florida printer, is printed material purchased for resale by the undersigned print purchaser and for no other purpose.
Under the penalties of perjury, I declare that I have read the foregoing Printed Material Exemption Certificate, and the facts stated in it are true.
Name of Nonresident Print Purchaser: __________________________________________________________________________
Address of Purchaser: _________________________________________________________________________________ (Street)
______________________________ (City) ________________________________________________________________ (State)
Federal Identification Number: ________________________________________________________________________________
_______________________________________ | _______________________________ |
_______________________________________ | _______________________________ |
(Signature of Authorized Representative) | Date |
This certificate shall be considered a part of each order the Print Purchaser gives to the printer named above.
EXEMPTION CERTIFICATE
PURCHASES OF FILM AND OTHER PRINTING SUPPLIES
______________________ (Purchaser's Name) certifies that the film, photographic paper, dyes used for embossing and engraving, artwork, typography, lithographic plates, and/or negatives purchased on or after ________ (date) will be used to produce graphic matter for sale.
______________________ (Purchaser's Name) further certifies that its four-digit SIC Industry Number is classified under SIC Industry Group Number 275, 276, 277, 278 or 279, as contained in the Standard Industrial Classification Manual, 1987, as published by the Office of Management and Budget, Executive Office of the President.
The undersigned understands that if such film, photographic paper, dyes used for embossing and engraving, artwork, typography, lithographic plates, and/or negatives do not qualify for exemption, the undersigned will be subject to sales and use tax, interest, and penalties. The undersigned further understands that when any person fraudulently, for the purpose of evading tax, issues to a vendor or to any agent of the state a certificate or statement in writing in which he or she claims exemption from the sales tax, such person, in addition to being liable for payment of the tax plus a mandatory penalty of 200% of the tax, shall be liable for fine and punishment provided by law for conviction of a felony of the third degree, as provided in Section 775.082, 775.083 or 775.084, F.S.
_________________________________ | _______________________________ |
Purchaser's Name (Print or Type) | Florida Sales Tax Number |
_________________________________ | _______________________________ |
Signature and Title | Date |
_________________________________ | _______________________________ |
Federal Employer Identification Number | Telephone Number |
(F.E.I.) or Social Security Number |
Fla. Admin. Code Ann. R. 12A-1.027
Rulemaking Authority 212.06(3)(b), 212.18(2), 213.06(1) FS. Law Implemented 92.525(1)(b), (3), 212.02(14), (15)(c), (19), 212.0596(2)(j), 212.06(2), (3)(b), (5)(a), 212.08(7)(yy), 212.085, 212.12(6), 213.37 FS.
New 10-7-68, Amended 6-16-72, 5-18-74, Formerly 12A-1.27, Amended 5-18-94, 6-19-01.