Form Ct-20 - Communications Sales And Use Tax Certifcate Of Exemption

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Form CT-10

Commonwealth of Virginia

Communications Sales and Use Tax Certificate of Exemption

(For use by a purchaser who purchases communications services for resale, an Internet service provider,

the Commonwealth of Virginia, any political subdivision of the Commonwealth, and the federal government

and any agency or instrumentality of the federal government.)

The Virginia Communications Sales and Use Tax does not apply to (1) a purchaser who purchases communication

services for resale; (2) a provider of Internet access service who purchases communications services to provide

Internet access; and (3) purchases of communications services by the Commonwealth of Virginia, any political

subdivision of the Commonwealth, and the federal government and any agency or instrumentality of the federal

government.

Please check the proper box below to indicate the exemption claimed:

1. Purchases of communications services for resale.

2. Purchases of communications services to provide Internet access.

3. Purchases of communications services by the Commonwealth of Virginia, any political subdivision

of the Commonwealth, and the federal government and any agency or instrumentality of the federal

government.

To:

Provider’s Name

Provider’s Street Address or P. O. Box

City

State

ZIP

Purchaser’s Information

Purchaser’s Name

Virginia Communications Sales and Use Tax

Certificate of Registration Number

Trading As

Purchaser’s Street Address or P. O. Box

City

State

ZIP

The undersigned purchaser hereby certifies that the purchaser is exempt from the communications sales and

use tax on communications services purchased from the above named provider on and after this date and that

this certificate shall remain in effect until revoked in writing by the Department of Taxation.

I certify that I am authorized to sign this certificate of exemption and that, to the best of my knowledge and belief,

it is true and correct, made in good faith, pursuant to the Virginia Communications Sales and Use Tax Act.

By*:

Title:

Date:

* If the Purchaser is a corporation, an officer of the corporation or other person authorized to sign on behalf of the corporation must sign; if a partnership,

one partner must sign; if an unincorporated association, a member must sign; if a sole proprietorship, the proprietor must sign.

Information for the Provider - A provider is required to have on file only one Certificate of Exemption properly

executed by the purchaser who is buying services under this Certificate.

Va. Dept. of Taxation Form CT-10 W

Rev. 12/06