Form ST: EX-A1-SE "Application for Sales Tax Certificate of Exemption for Statutorily Exempt Entities" - Alabama

What Is Form ST: EX-A1-SE?

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

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Alabama Department of Revenue;
  • 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 fillable version of Form ST: EX-A1-SE by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

ADVERTISEMENT
ADVERTISEMENT

Download Form ST: EX-A1-SE "Application for Sales Tax Certificate of Exemption for Statutorily Exempt Entities" - Alabama

Download PDF

Fill PDF online

Rate (4.4 / 5) 64 votes
Page background image
A
D
R
LABAMA
EPARTMENT OF
EVENUE
ST: EX-A1-SE
2/17
RESET
S
U
T
D
Application for Sales Tax Certificate of Exemption
ALES AND
SE
AX
IVISION
for Statutorily Exempt Entities
An Alabama Sales Tax Certificate of Exemption shall be used by persons, firms, or corporations coming under the provisions of the
Alabama Sales Tax Act who are not required to have a Sales Tax License.
PLEASE COMPLETE EACH LINE APPLICABLE TO YOUR ENTITY. A SALES TAX CERTIFICATE OF EXEMPTION WILL
NOT BE ISSUED UNTIL THIS APPLICATION IS PROPERLY COMPLETED.
1. Federal Employer Identification Number (FEIN) _________________________________ 2. Business Telephone (______)_______________
3. ____________________________________________________________________________________________________________________
NAME OF PERSON(S), FIRM, CORPORATION, ASSOCIATION, CO-PARTNERSHIP MAKING APPLICATION.
__________________________________________________________________ 4. Contact Person _________________________________
GIVE TRADE NAME
5. Mailing address of home office ________________________________________________________________________________________
P.O. BOX OR STREET NO. OR R.F.D.
____________________________________________________________________________________________________________________
CITY
COUNTY
STATE
ZIP CODE
6. Location ____________________________________________________________________________________________________________
CITY
STREET AND NO. OF HWY.
COUNTY
ZIP CODE
Location must be exact street number or, if on highway or rural route, give details of location. If more than one location, please
attach schedule. _________________________________________________________ 7. Number of businesses in Alabama __________
8. Would you like to receive a courtesy email notification to renew your certificate?
No
Yes If yes, you must provide email address: ________________________________________________________________
9. The Business is:
For Profit
Non-Profit
10. REASON EXEMPTION CLAIMED ____________________________________________________________________________________
(PRIVATE SCHOOL, UNITED WAY, ETC.) (PROVIDE CODE SECTION OR ACT NUMBER IF KNOWN)
11. Please attach a list of Board Members and a copy of the articles of incorporation. (CEO, CFO, or Executive Director may sign.)
NOTE
As a prerequisite to renewal of a certificate, the quadrennial report must be filed as required by law.
Signed ____________________________________________________
Signed ____________________________________________________
Title _______________________________ Date __________________
Title _______________________________ Date __________________
MAIL OR EMAIL APPLICATION TO:
Attn.: Exemption Unit
STExemptionUnit@revenue.alabama.gov
Alabama Department of Revenue
Sales and Use Tax Division
P.O. Box 327710
Montgomery, AL 36132-7710
REVENUE DEPARTMENT USE ONLY
Examiner’s Remarks _____________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Examiner _____________________________________ Date ___________________
Supervisor’s Recommendation ____________________________________________________________________________________________
________________________________________________________________________________________________________________________
Supervisor _____________________________________ Date ___________________
A
D
R
LABAMA
EPARTMENT OF
EVENUE
ST: EX-A1-SE
2/17
RESET
S
U
T
D
Application for Sales Tax Certificate of Exemption
ALES AND
SE
AX
IVISION
for Statutorily Exempt Entities
An Alabama Sales Tax Certificate of Exemption shall be used by persons, firms, or corporations coming under the provisions of the
Alabama Sales Tax Act who are not required to have a Sales Tax License.
PLEASE COMPLETE EACH LINE APPLICABLE TO YOUR ENTITY. A SALES TAX CERTIFICATE OF EXEMPTION WILL
NOT BE ISSUED UNTIL THIS APPLICATION IS PROPERLY COMPLETED.
1. Federal Employer Identification Number (FEIN) _________________________________ 2. Business Telephone (______)_______________
3. ____________________________________________________________________________________________________________________
NAME OF PERSON(S), FIRM, CORPORATION, ASSOCIATION, CO-PARTNERSHIP MAKING APPLICATION.
__________________________________________________________________ 4. Contact Person _________________________________
GIVE TRADE NAME
5. Mailing address of home office ________________________________________________________________________________________
P.O. BOX OR STREET NO. OR R.F.D.
____________________________________________________________________________________________________________________
CITY
COUNTY
STATE
ZIP CODE
6. Location ____________________________________________________________________________________________________________
CITY
STREET AND NO. OF HWY.
COUNTY
ZIP CODE
Location must be exact street number or, if on highway or rural route, give details of location. If more than one location, please
attach schedule. _________________________________________________________ 7. Number of businesses in Alabama __________
8. Would you like to receive a courtesy email notification to renew your certificate?
No
Yes If yes, you must provide email address: ________________________________________________________________
9. The Business is:
For Profit
Non-Profit
10. REASON EXEMPTION CLAIMED ____________________________________________________________________________________
(PRIVATE SCHOOL, UNITED WAY, ETC.) (PROVIDE CODE SECTION OR ACT NUMBER IF KNOWN)
11. Please attach a list of Board Members and a copy of the articles of incorporation. (CEO, CFO, or Executive Director may sign.)
NOTE
As a prerequisite to renewal of a certificate, the quadrennial report must be filed as required by law.
Signed ____________________________________________________
Signed ____________________________________________________
Title _______________________________ Date __________________
Title _______________________________ Date __________________
MAIL OR EMAIL APPLICATION TO:
Attn.: Exemption Unit
STExemptionUnit@revenue.alabama.gov
Alabama Department of Revenue
Sales and Use Tax Division
P.O. Box 327710
Montgomery, AL 36132-7710
REVENUE DEPARTMENT USE ONLY
Examiner’s Remarks _____________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Examiner _____________________________________ Date ___________________
Supervisor’s Recommendation ____________________________________________________________________________________________
________________________________________________________________________________________________________________________
Supervisor _____________________________________ Date ___________________