Form ST-A-109 "Certificate of Exemption to Purchase an Automobile, Camper Trailer or Motor Home for Lease or Rental" - Maine

What Is Form ST-A-109?

This is a legal form that was released by the Maine Department of Administrative and Financial Services - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2012;
  • The latest edition provided by the Maine Department of Administrative and Financial Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ST-A-109 by clicking the link below or browse more documents and templates provided by the Maine Department of Administrative and Financial Services.

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Download Form ST-A-109 "Certificate of Exemption to Purchase an Automobile, Camper Trailer or Motor Home for Lease or Rental" - Maine

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MAINE REVENUE SERVICES
SALES, FUEL & SPECIAL TAX DIVISION
Certificate of Exemption
To Purchase an Automobile, Camper Trailer or Motor Home for Lease or Rental
I
hereby
certify
that
I
hold
valid
Seller's
Registration
Certificate
No.
_________________
issued pursuant to the Maine Sales and Use Tax Law, that I am engaged in the business of
renting automobiles for less than a year, leasing automobiles for a year or more, or renting or
leasing camper trailers or motor homes, and that I will report the tax based on the lease or rental
on my Maine Sales and Use Tax Return. The property described below which I shall purchase
from__________________________________________ will be used for (check one):
____ rental of an automobile for less than a year; integral parts or accessories are exempt
when used in an automobile which is rented on a short-term basis.
____ lease of an automobile for a year or more; integral parts and accessories are not
exempt when used in an automobile being leased for a year or more.
____ rental or lease of a camper trailer or motor home; parts and accessories are not
exempt when used in a camper trailer or motor home being rented or leased.
When the vehicle described above is used for any other purpose it is understood that I am
required by the Maine Sales and Use Tax Law to report and pay tax based on the purchase price
of such property.
Description of property:
______________________________________________________
Purchaser
_______________________________________________________
Address
_______________________________________________________
_______________________________________________________
Date
_______________________________________________________
ST-A-109
10/1/12
MAINE REVENUE SERVICES
SALES, FUEL & SPECIAL TAX DIVISION
Certificate of Exemption
To Purchase an Automobile, Camper Trailer or Motor Home for Lease or Rental
I
hereby
certify
that
I
hold
valid
Seller's
Registration
Certificate
No.
_________________
issued pursuant to the Maine Sales and Use Tax Law, that I am engaged in the business of
renting automobiles for less than a year, leasing automobiles for a year or more, or renting or
leasing camper trailers or motor homes, and that I will report the tax based on the lease or rental
on my Maine Sales and Use Tax Return. The property described below which I shall purchase
from__________________________________________ will be used for (check one):
____ rental of an automobile for less than a year; integral parts or accessories are exempt
when used in an automobile which is rented on a short-term basis.
____ lease of an automobile for a year or more; integral parts and accessories are not
exempt when used in an automobile being leased for a year or more.
____ rental or lease of a camper trailer or motor home; parts and accessories are not
exempt when used in a camper trailer or motor home being rented or leased.
When the vehicle described above is used for any other purpose it is understood that I am
required by the Maine Sales and Use Tax Law to report and pay tax based on the purchase price
of such property.
Description of property:
______________________________________________________
Purchaser
_______________________________________________________
Address
_______________________________________________________
_______________________________________________________
Date
_______________________________________________________
ST-A-109
10/1/12