ST-PE1 (rev. 01/02)
STATE OF GEORGIA
Department of Revenue
Sales and Use Tax Division
1800 Century Center Boulevard, NE, Suite 15311
Atlanta, GA 30345-3205
Telephone (404) 417-6649
APPLICATION FOR CERTIFICATE OF EXEMPTION
PRODUCTION EQUIPMENT OR SERVICES FOR FILM PRODUCERS OR
FILM PRODUCTION COMPANIES
1.
Title of Project _________________________________________________________________________
2.
Production Company ______________________________________ FEI # ________________________
3.
Producer _____________________________________________________________________________
__/__/__
__/__/__
4.
Project Type _____________________________________________ Dates from
to
(Feature Film, Commercial, Documentary, TV Series, etc.)
5.
Intended Geographic Distribution __________________________________________________________
6.
Distribution Format _____________________________________________________________________
7.
Mailing Address __________________________________ Phone (___) ___ - ____ Fax (___) ___ - ____
8.
Business Location _____________________________________ , Georgia ________________________
9.
Primary Contact _______________________________________________________________________
10. Will equipment be:
[ ] Purchased
[ ] Leased
[ ] or Both
11. Anticipated date purchases or leases will begin: __________________ , be completed: ______________
12. List the anticipated type of equipment and purchase price for which exemption is claimed.
EQUIPMENT
PURCHASE PRICE
(Attach separate equipment list if needed)
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
The undersigned hereby certifies that purchases or leases of production equipment or production services for exclusive use in this
state comes within the exemption provisions of O.C.G.A. Section 48-8-3 (73). A copy of the certification issued by the Georgia Film and
Videotape Office of the Department of Industry and Trade must accompany this application in order for it to be valid.
GEORGIA CERTIFICATE OF REGISTRATION NO.____________________________________________ DATE ___/___/___
(IF APPLICABLE)
SIGNATURE _________________________________________________________ TITLE ____________________________