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Get Form 30 Filled Sample 2019-2024

CERTIFICATE OF EXEMPTION 51A111 6-14 Commonwealth of Kentucky DEPARTMENT OF REVENUE MACHINERY FOR NEW AND EXPANDED INDUSTRY IMPORTANT Certificate not valid unless completed in full. This certificate may be executed only for purchases leases or rentals of tangible personal property which qualify for exemption under KRS 139. 010 15 16 and 21 KRS 139. 480 10 and 103 KAR 30 120. The certificate may be executed by either 1 a manufacturer or production processor or 2 jointly by a contractor and the manufacturer or production processor in any case in which a contractor under contract with the manufacturer or production processor does in fact purchase lease or rent such property. THE UNDERSIGNED HEREBY CERTIFIES That the machinery to be purchased leased or rented from Name of Vendor Lessor or Renter Address constitutes machinery for new and expanded industry as defined in Sales and Use Tax Regulation 103 KAR 30 120 and that this machinery is to be installed at Name if any and Address of Plant Location 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 or by the lease or rental payment of the property. Cost of machinery to be purchased Purchase order number Description of machinery to be purchased Describe manufacturing function of machinery Name of Manufacturer or Production Processor Name of Contractor Under Contract with the Manufacturer or Production Processor Name of Subcontractor Permit Account Number Job Number/Contract Number By Signature Title Date Contractor s Note This certificate may not be used to purchase or rent/lease construction equipment or consumable supplies used in fulfilling a contract. Caution Sellers failing to obtain a completed certificate will be held liable for the sales and use tax pursuant to the provisions of KRS 139. 270. A seller of tangible personal property 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. 010 15 16 and 21 KRS 139. 480 10 and 103 KAR 30 120. The certificate may be executed by either 1 a manufacturer or production processor or 2 jointly by a contractor and the manufacturer or production processor in any case in which a contractor under contract with the manufacturer or production processor does in fact purchase lease or rent such property. THE UNDERSIGNED HEREBY CERTIFIES That the machinery to be purchased leased or rented from Name of Vendor Lessor or Renter Address constitutes machinery for new and expanded industry as defined in Sales and Use Tax Regulation 103 KAR 30 120 and that this machinery is to be installed at Name if any and Address of Plant Location 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 or by the lease or rental payment of the property.

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