Fillable Form ST3, Certificate of Exemption: (University of Minnesota)

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Form ST3, Certificate of Exemption: (University of Minnesota)

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File type: PDF

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Important note: The purchaser address is for tax purposes only. Please send all correspondence directly to the department you are working with.
C Tribal government (name)
D Foreign diplomat #
E Charitable organization #
F Educational Organization#
8029894
G Religious organization #
H Resale
Form ST3, Certificate of Exemption
Purchaser: Complete this certificate and give it to the seller.
Seller: If this certificate is not completed, you must charge sales tax. Keep this certificate as part of your records.
This is a blanket certificate, unless one of the boxes below is checked. This certificate remains in force as long as the purchaser continues
making purchases or until otherwise cancelled by the purchaser.
Check if this certificate is for a single purchase and enter the related invoice/purchase order # .
If you are a contractor and have a purchasing agent agreement with an exempt organization, check the box to make purchases for a
specific job. Enter the exempt entity name and specific project:
Exempt entity name Project description
Name of Purchaser
Regents of the University of Minnesota DBA University of Minnesota, C/O Tax Management Office
Business Address
2221 University Ave SE, Suite 100
City
Minneapolis
State
MN
ZIP code
55414
Purchaser’s Tax ID Number State of Issue
8029894
Minnesota
If no tax ID number, FEIN Driver’s license number/State issued ID number
Enter one of the following:
State of Issue Number
Name of seller from whom you are purchasing, leasing, or renting
Seller’s Address City State ZIP code
U of M Department: Please fill in the seller’s informationĂďŽǀĞ to fully complete this form before presentingŝƚ to the seller.
Type of Business
01 Accommodation and food services 11 Transportation and warehousing
02 Agricultural, forestry, fishing, hunting 12 Utilities
03 Construction 13 Wholesale trade
04 Finance and insurance 14 Business services
05 Information, publishing and communications 15 Professional services
06 Manufacturing 16 Education and health-care services
07 Mining 17 Nonprofit organization
08 Real estate 18 Government
09 Rental and leasing 19 Not a business (explain)
10 Retail trade 20
Other
(explain)
Reason for Exemption (See Instructions)
A Federal government (department)
B Specific government exemption
I Qualifying capital equipment (see instructions when
J Agricultural production
K Industrial production/manufacturing
L Direct pay authorization
M Multiple points of use (services, digital goods, or computer
software delivered electronically)
N Direct mail
O Other
(enter number from instructions)
P Percentage exemption
Advertising
(enter percentage) %
Utilities (enter percentage) %
equipment claimed is part of a construction project)
Electricity (enter percentage) %
I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. (PENALTY: If you try to evade paying
sales tax by using an exemption certificate for items or services that will be used for purposes other than those being claimed, you may be fined
$100 under Minnesota law for each transaction for which the certificate is used.)
Signature of Authorized Purchaser Print Name Here Title Date
Rev. 7/19
This exemption does not apply to lodging, prepared food
(including restaurant and catered food), candy, soft drinks,
motor vehicles, waste disposal services, airfare, and
alcoholic beverages.
<ŝƌƐƚĞŶD͘DƵůůĞƌ /ŶƚĞƌŝŵhŶŝǀĞƌƐŝƚLJdĂdžŝƌĞĐƚŽƌ ϮͬϮϯͬϮϬϮϭ
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Form ST3, Certificate of Exemption: (University of Minnesota)

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Completed 24 May 2021

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