Form St-Ce1 - Application For Certificate Of Exemption Computer Equipment For A High Technology Company

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ST-CE1 (rev. 10/02)
STATE OF GEORGIA
Department of Revenue
Sales and Use Tax Division
1800 Century Center Boulevard, NE, Ste. 15311
Atlanta, Georgia 30345-3205
Clear Form
Telephone: (404) 417-6649
APPLICATION FOR CERTIFICATE OF EXEMPTION
COMPUTER EQUIPMENT
FOR A HIGH TECHNOLOGY COMPANY
CALENDAR YEAR PURCHASES MUST MEET THE $15 MILLION REQUIREMENT
1. Legal Business Name ____________________________________________________________________________________
2. D/B/A Name ____________________________________________________________________________________________
3. Mailing address_________________________________________________________Telephone (_____)_________________
4. Business location__________________________________________________________________,Georgia _______________
5. If this application is on a Company Basis, provide the Company’s NACIS Code: ______________; if on Facility Basis, provide the
Facility’s NACIS Code: ______________.
6. If applying on a Company Basis, does your business conduct a majority of its business with nonaffiliated entities? _________
7. Will machinery be:
[ ] Purchased
[ ] Leased
[ ] or Both
8. Anticipate date purchases leases will begin: ____________________, be completed: _______________________________.
List the type of computer equipment for which exemption is claimed, and estimated book value of each.
Equipment
Purchase Price or Book Value
Attach separate equipment list if needed.
The undersigned hereby certifies that purchases or leases of computer equipment for a high technology company comes within the exemption
provisions of O.C.G.A. ' 48-8-3(68) and that the equipment will solely be used at the above stated business location.
GEORGIA CERTIFICATE OF REGISTRATION NO.______________________________ DATE______________________________________
(IF APPLICABLE)
SIGNATURE________________________________________________
TITLE__________________________________________________________

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