HomeMy WebLinkAbouthigh fac bids-20150709161312.pdf ST 119.1 (s/as) New York State and Local Safes and Use Tax The vendor n
collect the lu
New York State Exempt Organization Certification ae of`lt' Department oftaxa
s ,
Propperty or sr
TAXATION vices unless
and FINANCE Purcttasergiv
him a propel
THIS FORM MAY completed e)a
tion documen
NOT BE USED TO within 90 dar,
MAKE TAX EXEMPT atter delivery
the property s,
PURCHASES OF or service
MOTOR FUEL.. rendered.
VENDOR EXEMPT ORGANIZATION MAKING PURCHASES'
Name rr 1 Name
Mailing address Mailing address
a&A-Lb MAW AD-
City,village a post office
City,village or post office
State Zp Code .L
State Zip Code
EU) VORk l 850
THIACER CJITION IS ACCEPTABLE,IF THE PURCHASER
TERED ALL INFORMATION REQUIRED.
I certify that the organization named above holds a valid exempt organization certificate,
# EX 1-5--6000M and is exempt from state and local sales taxes on its purchases.
(Enter number from Form SF119)
Signature of o ce of organizatio Title Date prepared
A Form ST119.1,Exempt Organization Certification, may be was exempt will fall on both the seller and the purchaser
used only when an exempt organization is the direct purchaser
and payer of record. Any bill, Invoice or receipt given by the Form ST-t19.1,Exempt Organization Certification, must be gi,
vendor must show the above organization as the purchaser. to each vendor at the time of the first purchase-from that
Payment must be from the funds of the exempt organization. vendor.A separate certification Is not necessary for each
subsequent purchase provided the exempt organization's nai
The exemption from New York State and local sales and use address, and certificate number appear'on the sales slip or
tax does not extend to officers, members or employees of the billing invoice. The certification Is considered part of each or
organization. Personal purchases made by such individuals are given to the vendor and remains In force unless revoked.
subject to sales tax. An organization's exemption does not
extend to its subordinate or affiliated units. When making Vendors must retain this Exempt Organization'Certification fc
purchases, subordinate units may not-use the exemption at least three years after the date of the last exempt sale
number assigned to the parent organization. Such misuse may substantiated by the certification.
result in the revocation of the exemption granted.
You can get additional copies of this Form ST-119.1 at any,
Substantial civil and/or criminal penalties will result from the district tax office or by writing to the Taxpayer;Assistance
Imisuse of this form. In addition, where a certification is Bureau, W. A. Harriman Campus, Albany, New York 12227. T
received later than 90 days after the delivery of the property form may be reproduced without prior permission from tho
sold or the services rendered, the burden of proof that the sale Department of Taxation and Finance.
I
i
ST119.1 (M6) New York State and Local Sales and Use Tax The vendor,rx
New York State E em # Organization G collect the
� tax
X Department of p g Certification asaleof rser
Property or ser-
TAXATION vices unless v,
and FINANCE Purchaser give-
him aProperly
THIS FORM MAY �tpieted 8 ,
lion document
NOT BE USED TO within 90 days
MAKE TAX EXEMPT after delivery o,
the property sc
PURCHASES OF or service
MOTOR FUEL: rendered.
----------------
VENDOR )RGANIZATION MAKING PURCHASES
Name
AVo 1,1 o 240:+/s= w
Mailing address
14-7 W t L+m aiv) C.4�►� 1�U�ld R
City,village or post'ofri __...an _ G 1}'1R✓�
Ds<ofrs� .
site �-
Zi
T'rov'Tl ► p I . . _P Code
I certify that the organization n _---Ion certificate,
EX is-
—Gppo9 E,.._.._-_.. ��----local sales taxes on its purchases.
(Enter number from For - -°
Signature of o ce of organizatio Title Date prepared
�U��✓/sdL_ �-/�-r l
A Form ST119.1, Exempt Organization Certification, may be was exempt will fail on both the seller and the purchaser.
used only when an exempt organization is the direct purchaser
and payer of record. Any bill, invoice or receipt given by the Form ST119.1, Exempt Organization Certirication, must be giv.
vendor must show the above organization as the purchaser. to each vendor at the time of the first purchase from that
Payment must be from the funds of the exempt organization. vendor. A separate certification Is not necessary for each
subsequent purchase provided the exempt organization's nar.
The exemption from New York State and local sales and use address, and certificate number appear on the sales slip or
tax does not extend to officers, members or employees of the billing invoice. The certification'Is considered part of each or-
organization. Personal purchases made by such individuals are given to the vendor and remains in force unless revoked.
subject to sales tax. An organization's exemption does not
extend to its subordinate or affiliated units. When making Vendors must retain this Exempt Organization Certification fo
purchases, subordinate units may not use the exemption at least three years after the date of the last exempt sale
number assigned to the parent organization. Such misuse may substantiated by the certification.
result in the revocation of the exemption granted.
You can get additional copies of this Form ST119.1 at any
Substantial civil and/or criminal penalties will result from the district tax office or by writing to the Taxpayer Assistance
misuse of this form. In addition,where a certification Is Bureau, W.A. Harriman Campus, Albany, New York 12227. Ti
received later than 90 days after the delivery of the property form may be reproduced without prior permission from the
sold or the services rendered, the burden of proof that the sale Department of Taxation and Finance.
i
I
-
ST 1191 fs/ssj New York State and Local Sales and Use Tax The vendor n
New York State EXem t Or aniza#ion collect�of taxa
k IM
X- Department of p g Certification TAXATION vim un es u
and FINANCE vices unless�
purcfta5er g'ry
ttkn a properh
THIS FORM MAY Completed wa
tion docamen
NOT BE USED TO withln 90 day.'
MAKE TAX EXEMPT after delivery
the property s
PURCHASES OF or service
MOTOR FUEl_. rendered.
VENDOR EXEMPT ORGANIZATION MAKING PURCHASE;'
Name Name
f�►dl£L J. D AM A-tJ M 13 114,64 9£ATIJ
Mailing address Mailing address /
(0S MIDDLE Ste.
city,village or post office
City.village or post office
FE tJ£vA Z
State Zip Code
State Zip Code
THIS CERTIFICJITION IS ACCEPTABLE IF THE PURCHASER
HAS ENTERED ALL INFORMATION REQUIRED.
I certify that the organization named above holds a valid exempt organization certificate,
# EX 1-5--6000g4( , and is exempt from state and local sales taxes on its purchases.
(Enter number from Form ST119)
Signature of o ce of organizatio Title Date prepared
A Form ST119.1, Exempt Organization Certification may be
Y was exempt will..:fall on both the seller and the purchaser.
used only when an exempt organization is the direct,purchaser
and payer of record. Any bill, Invoice or receipt given by the Form ST119.1,Exempt Organization Certification, must be gi
vendor must show the above organization as the purchaser. to each vendor at the time of the first purchase-from that
Payment must be from the funds of the exempt organization. vendor. A separate certification is not necessary for each
subsequent purchase provided the exempt organization's nai
The exemption from New York State and local sales and use address, and certificate number appear'on the sales slip or
tax does not extend to officers,members or employees of the billing invoice.The certification Is considered part of each or
organization. Personal purchases made by such Individuals are given to the vendor and remains In force unless revoked.
subject to sales tax. An organization's exemption does not
extend to its subordinate or affiliated units. When making Vendors must retain this Exempt Organization Certification fc'
purchases, subordinate units may not use the exemption at least three years after the date of the last exempt sale
number assigned to the parent organization. Such misuse may substantiated by the certification.
result in the revocation of the exemption granted.
You can get additional copies of this Form ST119.1 at any
Substantial civil and/or criminal penalties will result from the district tax office or by writing to the Taxpayer Assistance
misuse of this form. In addition, where a certification is Bureau, W. A. Harriman Campus, Albany, New York 12227. T
received later than 90 days after the delivery of the property form may be reproduced without prior permission from the
sold or the services rendered, the burden of proof that the sale Department of Taxation and Finance.
i
ST 119.1 (6/86) New York State and Local Sales and Use Tax The vendor
New York State collect the uu
� taxa
`�{ TAXATION
of Exempt Organization Certification a sate s
Property or sc
TAXATION vices unless i
' and FINANCE
Purchaser giv
him a properi
THIS FORM MAY completed exs
tion documen
NOT BE USED TO WiNn 90 day.
MAKE TAX EXEMPT after delivery
PURCHASES OF the property s
or service
MOTOR FUEI . rendered.
VENDOR EXEMPT ORGANIZATION MAKING PURCHASE:
Name T Na
Mailing address Mailing address
City,village or post office
o U G k✓f t I City,village or post office .
zip(3ode
Zip Code
t77;
y �33 ro EW OR,k 1 S5o
[!HISCERTIFICATION IS ACCEPTABLE IF THE PURCt tecr�
HAS'ENTERED ALL W>nog'•''
1 certify that the organization name AL; wtificate,
Ji
AllEX 1am-6000"74 W°,o
(Enter number from Fonn srr sales taxes on its purchases.
t�M
Signature of40C)"
of organizatio r ^"" Date prepared
A Form ST119.1,Exempt Organization Certific �'4-- both the seller and the purchaser.
used only when an exempt organization is th
and payer of record. Any bill, Invoice or receii- Organization Certification, must be gi'
vendor must show the above organization as � of the first purchase-from that
Payment must be from the funds of the exemk ification is not necessary for each
The exemption from New York State and local ovided the exempt organization's nainumber appear on the sales slip or
tax does not extend to officers, members or or g nvoice. The certification Is considered part of each or
organization. Personal purchases made by suc uals are given to the vendor and remains In force unless revoked.
subject to sales tax. An organization's exemption does not
extend to its subordinate or affiliated units. When making Vendors must retain this Exempt Organization Certification fc
purchases, subordinate units may not-use the exemption at least three years after the date of the last exempt sate
number assigned to the parent organization. Such misuse may substantiated by the certification.
result in the revocation of the exemption granted.
You can get additional copies of this Form ST119.1 at any
Substantial civil and/or criminal penalties will result from the district tax office or by writing to the Taxpayer Assistance
misuse of this form. In addition, where a certification is Bureau, W. A. Harriman Campus, Albany, New York 12227. T
received later than 90 days after the delivery of the property form may be reproduced without prior permission from the
sold or the services rendered, the burden of proof that the sale Department of Taxation and Finance.
I