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ENERGY-RELATED EQUIPMENT
SEMICONDUCTOR FABRICATING, PROCESSING, OR
Sales Tax License No. _ __ __ _ _ __ _ _ __ _ _ _
RESEARCH AND DEVELOPMENT MATERIAL
I certify the machinery or equipment leased or purchased will be
Sales Tax License No. ___ ___ __ ___ _ _ _ _ _
used to create or expand the operations of a renewable energy
I certify the fabricating, processing, or research and development
production facility, a waste energy production facility, or a facility
materials purchased are for use in research or development, manufac-
that produces fuel from biomass energy.
turing, or fabricating of semiconductors.
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FUELS, GAS, ELECTRICITY
LOCOMOTIVE FUEL
Sales Tax License No. _ __ __ _ _ __ _ _ __ _ _ _
I certify this fuel will be used by a railroad in a locomotive engine.
I certify all natural gas, electricity, coal, coke, and other fuel
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AIRCRAFT MAINTENANCE, REPAIR AND OVERHAUL
purchased will be used for industrial use only and not for residential
or commercial purposes.
PROVIDER
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I certify these sales are to or by an aircraft maintenance, repair and
MUNICIPAL ENERGY
overhaul provider for the use in the maintenance, repair, overhaul or
Sales Tax License No. _ __ __ _ _ __ _ _ __ _ _ _
refurbishment in Utah of a fixed-wing, turbine-powered aircraft that
I certify the natural gas or electricity purchased: is for resale; is
is registered or licensed in a state or country outside Utah.
prohibited from taxation by federal law, the U.S. Constitution, or the
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RELIGIOUS OR CHARITABLE INSTITUTION
Utah Constitution; is for use in compounding or producing taxable
energy; is subject to tax under the Motor and Special Fuel Tax Act;
Sales Tax Exemption No. _____________________________
is used for a purpose other than as a fuel; is used by an entity
I certify the tangible personal property or services purchased will be
exempted by municipal ordinance; or is for use outside a municipal-
used or consumed for essential religious or charitable purposes.
ity imposing a municipal energy sales and use tax. The normal
This exemption can only be used on purchases totaling $1,000
sales tax exemptions under Utah Code §59-12-104 do not apply to
or more, unless the sale is pursuant to a contract between the
the Municipal Energy Sales and Use Tax.
seller and purchaser.
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MACHINERY AND EQUIPMENT AND NORMAL OPERATING
SKI RESORT
REPAIR OR REPLACEMENT PARTS USED IN A MANUFACTUR-
Sales Tax License No. __ ___ __ ___ ___ _ _ _
ING FACILITY, MINING ACTIVITY OR WEB SEARCH PORTAL
I certify the snow-making equipment, ski slope grooming equipment
Sales Tax License No. _ __ __ _ _ __ _ _ __ _ _ _
or passenger rope-ways purchased are to be paid directly with
funds from the ski resort noted on the front of this form.
I certify the machinery and equipment and normal operating repair or
replacement parts purchased have an economic life of three years or
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TOURISM/MOTOR VEHICLE RENTAL
more and are for use in a Utah manufacturing facility described within
the SIC Codes of 2000-3999; in a qualifying scrap recycling operation;
I certify the motor vehicle being leased or rented will be temporarily
in a cogeneration facility placed in service on or after May 1, 2006; in
used to replace a motor vehicle that is being repaired pursuant to a
the operation of a Web search portal by a new or expanding establish-
repair or an insurance agreement; the lease will exceed 30 days;
ment described in NAICS Code 518112, Web Search Portals, during
the motor vehicle being leased or rented is registered for a gross
the period of July 1, 2010 through June 30, 2014; or in an establish-
laden weight of 12,001 pounds or more; or, the motor vehicle is
ment described in NAICS 212, Mining (except Oil and Gas), or NAICS
being rented or leased as a personal household goods moving van.
213113, Support Activities for Coal Mining, NAICS 213114, Support
This exemption applies only to the tourism tax (up to 7 percent) and
Activities for Metal Mining, or NAICS 213115, Support Activities for
the short-term motor vehicle rental tax (Transportation Corridor
Nonmetallic Minerals (except Fuels) Mining. The mining exemption
Funding – 2.5 percent) – not to the state, local, transit, zoo, hospital,
also includes equipment used in research and development.
highways, county option or resort sales tax.
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RESEARCH AND DEVELOPMENT OF COAL-TO-LIQUID, OIL
TELECOMMUNICATIONS EQUIPMENT, MACHINERY OR
SHALE AND TAR SANDS TECHNOLOGY
SOFTWARE
Sales Tax License No. _ __ __ _ _ __ _ _ __ _ _ _
Sales Tax License No. ___ ___ __ ___ _ _ _ _ _
I certify the tangible personal property purchased will be used in
I certify these purchases or leases of equipment, machinery, or
research and development of coal-to-liquids, oil shale, and tar
software, by or on behalf of a telephone service provider, have a
sands technology.
useful economic life of one or more years and will be used to enable
or facilitate telecommunications; to provide 911 service; to maintain
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MAILING LISTS
or repair telecommunications equipment; to switch or route
Sales Tax License No. _ __ __ _ _ __ _ _ __ _ _ _
telecommunications service; or for sending, receiving, or transport-
ing telecommunications service.
I certify the printed mailing lists or electronic databases are used to
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send printed material that is delivered by U.S. mail or other delivery
TEXTBOOKS FOR HIGHER EDUCATION
service to a mass audience where the cost of the printed material is
I certify that textbooks purchased are required for a higher education
not billed directly to the recipients.
course, for which I am enrolled at an institution of higher education,
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and qualify for the Utah sales and use tax exemption. An institution
STEEL MILL
of higher education means: the University of Utah, Utah State
Sales Tax License No. _ __ __ _ _ __ _ _ __ _ _ _
University, Weber State University, Southern Utah University, Snow
I certify the rolls, rollers, refractory brick, electric motors or other
College, Dixie State College of Utah, Utah Valley University, Salt
replacement parts will be used in the furnaces, mills or ovens of a steel
Lake Community College, or the Utah College of Applied Technology.
mill as described in Standard Industrial Classification (SIC) 3312.
To be valid this certificate must be filled in completely, including a check mark in the proper box.
A sales tax license number is required only where indicated.
NOTE TO SELLER: Keep this certificate on file since it must be available for audit review.
NOTE TO PURCHASER: Keep a copy of this certificate for your records. You must notify the seller of cancellation, modification, or limitation of the
exemption you have claimed.
If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at 801-297-3811 or TDD 801-297-2020.
Please allow three working days for a response.
DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION
Keep it with your records in case of an audit.