Form ST-A-119 "Contractor's Exempt Purchase Certificate" - Maine

What Is Form ST-A-119?

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 August 3, 2016;
  • 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-119 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-119 "Contractor's Exempt Purchase Certificate" - Maine

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MAINE REVENUE SERVICES
SALES/EXCISE TAX DIVISION
Contractor’s Exempt Purchase Certificate
I hereby certify:
That I am engaged in the performance of a construction contract for the following exempt
organization, activity or government agency:
Full name of agency, entity or organization
Address of agency, entity or organization
Location and nature of project
That the above agency, entity or organization either holds exemption certificate no.
issued by Maine Revenue Services, Sales, Fuel & Special Tax Division or is
to the best of my knowledge and belief exempt from the sales and use tax because it is an agency
of the federal government, the State of Maine or a political subdivision of the State of Maine; or
involved in an otherwise sales tax exempt activity.
That this certificate is issued to cover purchases of materials that will be permanently
incorporated into real property for sale to the exempt organization, entity or government agency
indicated above.
Seller’s Certificate Number of contractor, if applicable
Date
Contractor’s Name
By
Address
ST-A-119
Revised: 8/3/2016
MAINE REVENUE SERVICES
SALES/EXCISE TAX DIVISION
Contractor’s Exempt Purchase Certificate
I hereby certify:
That I am engaged in the performance of a construction contract for the following exempt
organization, activity or government agency:
Full name of agency, entity or organization
Address of agency, entity or organization
Location and nature of project
That the above agency, entity or organization either holds exemption certificate no.
issued by Maine Revenue Services, Sales, Fuel & Special Tax Division or is
to the best of my knowledge and belief exempt from the sales and use tax because it is an agency
of the federal government, the State of Maine or a political subdivision of the State of Maine; or
involved in an otherwise sales tax exempt activity.
That this certificate is issued to cover purchases of materials that will be permanently
incorporated into real property for sale to the exempt organization, entity or government agency
indicated above.
Seller’s Certificate Number of contractor, if applicable
Date
Contractor’s Name
By
Address
ST-A-119
Revised: 8/3/2016