Form ST: EX-A1 "Application for Sales Tax Certificate of Exemption" - Alabama

What Is Form ST: EX-A1?

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 August 1, 2018;
  • 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 by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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

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ST: EX-A1
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Application for Sales tax Certificate of exemption
An Alabama Sales tax Certificate of exemption shall be used by persons, firms, or corporations coming under the provi-
sions of the Alabama Sales tax Act who are not required to have a Sales Tax License.
PLEASE COMPLETE EACH LINE APPLICABLE TO YOUR BUSINESS. A SALES TAX CERTIFICATE OF EXEMP-
TION 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. number of businesses in Alabama __________ location __________________________________________________________
CITY
STREET AND NO. OF HWY.
COUNTY
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. Would you like to receive a courtesy email notification to renew your certificate?
no   
Yes ____________________________________________________________________________________________
8. Kind and Class of business ___________________________________________________________________________________
(NON-PROFIT, WHOLESALER, MANUFACTURER, ETC.)
9. type product manufactured and/or sold _______________________________________________________________________
10. REASON EXEMPTION CLAIMED___________________________________________________________________________
11. form of ownership:  
individual
partnership
Corporation
multi member llC
Single member llC
if applicant is a corporation, a copy of the certified certificate of incorporation, amended certificate of incorporation,
certificate of authority, or articles of incorporation should be attached. if the applicant is a limited liability company or a
limited liability partnership, a copy of the certified articles of organization should be attached.
12. ownership information (please attach):
Corporations – give name, title, home address, and Social Security number of each officer.
partnerships – give name, home address, Social Security number or fein of each partner, and valid Alabama driver’s
license or other acceptable citizenship documentation.
Sole proprietorships – give name, home address, Social Security number of owner, and valid Alabama driver’s license or
other acceptable citizenship documentation.
llC – give name, home address, and Social Security number or fein of each member. (valid Alabama driver’s license
or other acceptable citizenship documentation is required for single member llCs.)
llp – give name, home address, and Social Security number or fein of each partner.
Signed _______________________________________________
Signed _______________________________________________
title __________________________ Date __________________
title __________________________ Date __________________
MAIL ORIGINAL APPLICATION TO THE TAXPAYER SERVICE CENTER
LISTED ON PAGE TWO THAT SERVES THE COUNTY IN WHICH YOU ARE LOCATED.
REVENUE DEPARTMENT USE ONLY
examiner’s remarks ____________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
examiner _____________________________________ Date ___________________
Supervisor’s recommendation ___________________________________________________________________________________
_______________________________________________________________________________________________________________
Supervisor _____________________________________ Date ___________________
ST: EX-A1
8/18
A
D
r
lAbAmA
epArtment of
evenue
Reset
S
u
t
D
AleS AnD
Se
Ax
iviSion
Application for Sales tax Certificate of exemption
An Alabama Sales tax Certificate of exemption shall be used by persons, firms, or corporations coming under the provi-
sions of the Alabama Sales tax Act who are not required to have a Sales Tax License.
PLEASE COMPLETE EACH LINE APPLICABLE TO YOUR BUSINESS. A SALES TAX CERTIFICATE OF EXEMP-
TION 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. number of businesses in Alabama __________ location __________________________________________________________
CITY
STREET AND NO. OF HWY.
COUNTY
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. Would you like to receive a courtesy email notification to renew your certificate?
no   
Yes ____________________________________________________________________________________________
8. Kind and Class of business ___________________________________________________________________________________
(NON-PROFIT, WHOLESALER, MANUFACTURER, ETC.)
9. type product manufactured and/or sold _______________________________________________________________________
10. REASON EXEMPTION CLAIMED___________________________________________________________________________
11. form of ownership:  
individual
partnership
Corporation
multi member llC
Single member llC
if applicant is a corporation, a copy of the certified certificate of incorporation, amended certificate of incorporation,
certificate of authority, or articles of incorporation should be attached. if the applicant is a limited liability company or a
limited liability partnership, a copy of the certified articles of organization should be attached.
12. ownership information (please attach):
Corporations – give name, title, home address, and Social Security number of each officer.
partnerships – give name, home address, Social Security number or fein of each partner, and valid Alabama driver’s
license or other acceptable citizenship documentation.
Sole proprietorships – give name, home address, Social Security number of owner, and valid Alabama driver’s license or
other acceptable citizenship documentation.
llC – give name, home address, and Social Security number or fein of each member. (valid Alabama driver’s license
or other acceptable citizenship documentation is required for single member llCs.)
llp – give name, home address, and Social Security number or fein of each partner.
Signed _______________________________________________
Signed _______________________________________________
title __________________________ Date __________________
title __________________________ Date __________________
MAIL ORIGINAL APPLICATION TO THE TAXPAYER SERVICE CENTER
LISTED ON PAGE TWO THAT SERVES THE COUNTY IN WHICH YOU ARE LOCATED.
REVENUE DEPARTMENT USE ONLY
examiner’s remarks ____________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
examiner _____________________________________ Date ___________________
Supervisor’s recommendation ___________________________________________________________________________________
_______________________________________________________________________________________________________________
Supervisor _____________________________________ Date ___________________
Taxpayer Service Centers
• AUBURN/OPELIkA
• MOBILE
3300 Skyway Drive, Auburn (Zip 36830)
bel Air tower Suite 100
3320 Skyway Drive, Suite 808
851 e. i-65 Service road South (Zip 36606)
opelika, Al 36801
p.o. Drawer 160406
telephone: (334) 887-9549
mobile, Al 36616-1406
telephone: (251) 344-4737
Counties:
Chambers
lee
talladega
Counties:
Clay
randolph
tallapoosa
baldwin
Conecuh
monroe
Coosa
russell
Choctaw
escambia
Washington
Clarke
mobile
Wilcox
• DOTHAN
121 Adris place (Zip 36303)
• MONTGOMERY
p.o. box 5739
2545 taylor road (Zip 36117)
Dothan, Al 36302-5739
p.o. box 327490
telephone: (334) 793-5803
montgomery, Al 36132-7490
telephone (334) 242-2677
Counties:
barbour
Dale
Henry
Counties:
Coffee
Geneva
Houston
Autauga
Crenshaw
macon
Covington
bullock
Dallas
montgomery
butler
elmore
pike
• GADSDEN
Chilton
lowndes
701 forrest Avenue (Zip 35901)
p.o. box 1190
• TUSCALOOSA
Gadsden, Al 35902-1190
1434 22nd Avenue (Zip 35401)
telephone: (256) 547-0554
p.o. box 2467
tuscaloosa, Al 35403-2467
Counties:
telephone: (205) 759-2571
blount
Cleburne
marshall
Calhoun
DeKalb
St. Clair
Counties:
Cherokee
etowah
bibb
marengo
Sumter
fayette
marion
tuscaloosa
Greene
perry
Walker
• HUNTSvILLE
Hale
pickens
Winston
4920 Corporate Drive, Suite H (Zip 35805)
lamar
p.o. box 11487
Huntsville, Al 35814-1487
telephone: (256) 837-2319
• OUT-OF-STATE:
foreign Audit
Counties:
Alabama Department of revenue
Colbert
Jackson
limestone
Sales and use tax Division
Cullman
lauderdale
madison
p.o. box 327710
franklin
lawrence
morgan
montgomery, Al 36132-7710
• JEFFERSON/SHELBY
2020 valleydale road, Suite 208 (Zip 35244)
p.o. box 1927
pelham, Al 35124
telephone: (205) 733-2740
Counties:
Jefferson
Shelby
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