Sstgb Form F0003 – Fill Out and Use This PDF

Section 1: Check the box for a single purchase and enter the invoice number.

If the box is not checked, this certificate is considered a blanket certificate and remains effective until cancelled by the purchaser if purchases are no more than 12 months apart, unless a longer period is allowed by a state.

Section 2: Enter the purchaser's and seller's name, street address, city, state, country and zip code.

Do not send this form to the Streamlined Sales Tax Governing Board. Send the completed form to the seller and keep a copy for your records.

Section 3 Type of Business: Check the number that best describes the purchaser's business or organization. If none of the categories apply, check 20 and provide a brief description.

Section 4 Reason for Exemption: Check the letter that identifies the reason for the exemption. If the exemption you are claiming is not listed, check "Other" and provide a clear and concise explanation of the exemption claimed.

Section 5 Identification ID Number: Enter the ID number as required in the instructions below for each state in which you are claiming an exemption. Identify the state or if a foreign ID, the country the ID number is from. If multiple exemption reasons are being claimed enter the letters identifying the reasons for exemption as listed in Section 4 for each state.

ID Numbers for Exemptions other than resale: You are responsible for ensuring that you are eligible for the exemption in the state you are claiming the tax exemption. Provide the ID number to claim exemption from sales tax that is required by the taxing state. Check with that state to determine your exemption requirements and status.

Foreign diplomats and consular personnel must enter their individual tax identification number shown on their sales tax exemption card issued by the United States Department of State's Office of Foreign Missions.

ID Numbers for Resale Purchases (Including Drop Shipments): If you are claiming a purchase is not subject to tax because it is for resale (Exemption Reason G.) and you are:

Required to be registered in the state you are claiming the tax exemption: Provide your sales tax ID number issued by that state.

If claiming exemption in OH and registration is not required in the state, enter any tax ID number issued by OH. If claiming exemption in MI and registration is not required in the state, enter "Not Required".

Not registered in the state you are claiming the tax exemption: Provide your sales tax ID number issued by any state.

Not required to register for sales tax and you do not have a sales tax identification number from any state: Enter your FEIN. If you do not have a FEIN, enter a different state-issued business ID number. If you do not have any state-issued business ID number or FEIN, enter your state driver's license number.

If you are claiming a purchase is not subject to tax because it is for resale (Exemption Reason G.), you are a foreign purchaser and you do not have an ID number described under ID Numbers for Resale Purchases. The following states will accept the tax ID number (e.g., VAT number) issued by your country: AR, IN, KS, KY, ND, NJ, OK, RI, SD, TN, UT, WA, WY. All other states require an ID number as listed under ID Numbers for Resale Purchases.

If you are claiming a purchase is not subject to tax because it is for resale (Exemption Reason G.) and you do not have any of the ID numbers listed under ID Numbers for Resale Purchases: You are not required to list an ID number for states NE, OH, SD, WI. Enter "Not Required" and the reason for exemption for that state. All other states require an ID number.

"I declare that the information on this certificate is correct and complete to the best of my knowledge and belief." Print name, Title, Date.

A signature is not required if in electronic form.

Not all states allow all exemptions listed on this form. The purchaser is responsible for ensuring it is eligible for the exemption in the state it is claiming the tax exemption from. Check with the state for exemption information and requirements.

The purchaser is liable for any tax and interest, and possible civil and criminal penalties imposed by the state, if the purchaser is not eligible to claim this exemption.

The seller is not liable for any tax, interest, or penalty if the purchaser improperly claims an exemption or provides incorrect information on the certificate, provided all the following conditions are met: 1. The fully completed exemption certificate is provided to the seller at the time of sale or within 90 days subsequent to the date of sale; 2. The seller did not fraudulently fail to collect the tax due; and 3. The seller did not solicit customers to unlawfully claim an exemption.

Signature of authorized purchaser