Sd Eform 1932 V12 - South Dakota Streamlined Sales Tax Agreement - Certificate Of Exemption
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SD EForm - 1932
V12
Complete and use the button at the end to print for mailing.
South Dakota Streamlined Sales Tax Agreement
Certificate of Exemption
Warning to purchaser:
This is a multi-state form. Not all states allow all exemptions listed on this form. Purchasers are responsible for knowing if they
qualify to claim exemption from tax in the state that is due tax on this sale. The state that is due tax on this sale may be notified that
you claimed exemption from sales tax.
The purchaser will be held liable for any t ax and interest, and possible civil and criminal penalties imposed by the member st ate, if the
purchaser is not eligible to claim this exemption.
1.
Check if you are attaching the Multistate Supplemental form.
If not, enter the two-letter abbreviation for the state under whose laws you are claiming exemption.
2.
Check if this certificate is for a Single Purchase Certificate. Invoice/purchase order #_________________________.
3.
A. Name of purchaser
B. Business address
City
State
Zip code
C. Purchaser’s tax ID number
State of Issue
County of Issue
D. If no tax ID number,
enter
FEIN
State of Issue
E. If no ID number or FEIN, enter Driver ’s License Number/State Issued ID number
F. Foreign diplomat number
G. Name of seller from whom you are purchasing, leasing or renting
City
State
H. Seller’s address
Zip code
4.
Purchaser’s Type of business. Circle the number that best describes your business.
01 Accommodation and food services
11 Transportation and warehousing
02 Agriculture, 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
10 Retail trade
20 Other (explain)
5.
Reason for exemption. Circle the letter that identifies the reason for the exemption.
H
Agricultural
A
Federal government
(Department)
Does not apply in SD
I
Industrial production/manufacturing
B
State or local government
(Agency)
J
Direct pay permit
C
Tribal government
K
Direct Mail
D
Foreign diplomat
L
Other
E
Charitable organization - SD Permit Required
(Explain)
F
Religious or private educational organization - SD Permit Required
G
Resale
6.
I declare that the information on this certificate is correct and complete to the best of my knowledge and belief.
Signature of authorized purchaser
Print name here
Title
Date
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