Form 51A149 "Certificate of Exemption for Pollution Control Facilities" - Kentucky

What Is Form 51A149?

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

Form Details:

  • Released on January 1, 2007;
  • The latest edition provided by the Kentucky 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 printable version of Form 51A149 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Revenue.

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Download Form 51A149 "Certificate of Exemption for Pollution Control Facilities" - Kentucky

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51A149 (1-07)
Commonwealth of Kentucky
CERTIFICATE OF EXEMPTION
Important—Certificate
DEPARTMENT OF REVENUE
not valid unless completed.
FOR
POLLUTION CONTROL FACILITIES
This certificate may be executed only for those purchases of tangible personal property which qualify for exemption under
KRS 139.480(12). The certificate may be executed by either: (1) A holder of a Pollution Control Tax Exemption Certificate
or (2) jointly by a contractor and the holder of a Pollution Control Tax Exemption Certificate in any case in which a contractor
under contract with the certificate holder does, in fact, purchase such property.
THE UNDERSIGNED HEREBY CERTIFIES: That the materials and equipment to be purchased from
_________________________________________________________________________________________________
Name of Vendor
_________________________________________________________________________________________________
Address
will become a part of a pollution control facility at _________________________________________________________
Location of Facility
for which the Department of Revenue, as provided by KRS Chapter 224, has issued a Pollution Control Tax Exemption
Certificate. The undersigned agrees that in the event it is determined that any of the property described below is not tax-
exempt, the undersigned will immediately report and pay the required tax measured by the purchase price of the property.
Cost of property to be purchased: _______________________________________________________________________
Description of property to be purchased: _________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Name of Contractor Under Contract with Holder of
Name of Holder of
Pollution Control Tax Exemption Certificate
Pollution Control Tax Exemption Certificate
Permit Account Number
Permit Account Number
Pollution Control Tax Exemption Certificate Number
By
By
Signature
Title
Signature
Title
Date
Date
Address
Address
CAUTION: A seller of tangible personal property accepting certificates shall be relieved from the sales and use tax only if
he maintains a file of these certificates for a period of not less than four years as provided by KRS 139.720.
51A149 (1-07)
Commonwealth of Kentucky
CERTIFICATE OF EXEMPTION
Important—Certificate
DEPARTMENT OF REVENUE
not valid unless completed.
FOR
POLLUTION CONTROL FACILITIES
This certificate may be executed only for those purchases of tangible personal property which qualify for exemption under
KRS 139.480(12). The certificate may be executed by either: (1) A holder of a Pollution Control Tax Exemption Certificate
or (2) jointly by a contractor and the holder of a Pollution Control Tax Exemption Certificate in any case in which a contractor
under contract with the certificate holder does, in fact, purchase such property.
THE UNDERSIGNED HEREBY CERTIFIES: That the materials and equipment to be purchased from
_________________________________________________________________________________________________
Name of Vendor
_________________________________________________________________________________________________
Address
will become a part of a pollution control facility at _________________________________________________________
Location of Facility
for which the Department of Revenue, as provided by KRS Chapter 224, has issued a Pollution Control Tax Exemption
Certificate. The undersigned agrees that in the event it is determined that any of the property described below is not tax-
exempt, the undersigned will immediately report and pay the required tax measured by the purchase price of the property.
Cost of property to be purchased: _______________________________________________________________________
Description of property to be purchased: _________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Name of Contractor Under Contract with Holder of
Name of Holder of
Pollution Control Tax Exemption Certificate
Pollution Control Tax Exemption Certificate
Permit Account Number
Permit Account Number
Pollution Control Tax Exemption Certificate Number
By
By
Signature
Title
Signature
Title
Date
Date
Address
Address
CAUTION: A seller of tangible personal property accepting certificates shall be relieved from the sales and use tax only if
he maintains a file of these certificates for a period of not less than four years as provided by KRS 139.720.