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Purchaser must provide sales tax license number in the header on page 1.
NOTE TO PURCHASER: You must notify the seller of cancellation, modification, or limitation of the exemption you have claimed.
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Life Science Research and Development Facility
I certify the purchased: (1) machinery, equipment and normal
operating repair or replacement parts have an economic life of three
or more years for use in performing qualified research in Utah; or (2)
construction materials are for use in the construction of a new or
expanding life science research and development facility in Utah.
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Service Provider Consumables
I certify the tangible personal property is consumable items
purchased by a service provider as described in UCA
§§59-12-103(1)(b), (f), (g), (h), (i) or (j).
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Commercial Airlines
I certify the food and beverages purchased are by a commercial
airline for in-flight consumption; or, any parts or equipment
purchased are for use in aircraft operated by common carriers in
interstate or foreign commerce.
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Commercials, Films, Audio and Video Tapes
I certify purchases of commercials, films, prerecorded video tapes,
prerecorded audio program tapes or records are for sale or distribu-
tion to motion picture exhibitors, or commercial television or radio
broadcasters. If I subsequently resell items to any other customer,
or use or consume any of these items, I will report any tax liability
directly to the Tax Commission.
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Mailing Lists
I certify the printed mailing lists or electronic databases are used to
send printed material that is delivered by U.S. mail or other delivery
service to a mass audience where the cost of the printed material is
not billed directly to the recipients.
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Semiconductor Fabricating, Processing or
Research and Development Material
I certify th e fab ric ating , pro ce ss ing , or re se arch an d deve lopm e nt
m a terials p urch ase d a re fo r u se in resea rch o r d eve lop m e nt, m a nu fa c-
turin g, or fa b ricatin g of s em icon d uctors.
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Telecommunications Equipment,
Machinery or Software
I certify these purchases or leases of equipment, machinery, or
software, by or on behalf of a telephone service provider, have a
useful economic life of one or more years and will be used to enable
or facilitate telecommunications; to provide 911 service; to maintain
or repair telecommunications equipment; to switch or route
telecommunications service; or for sending, receiving, or transport-
ing telecommunications service.
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Aircraft Maintenance, Repair and Overhaul Provider
I certify these sales are to or by an aircraft maintenance, repair and
overhaul provider for the use in the maintenance, repair, overhaul or
refurbishment in Utah of a fixed-wing, turbine-powered aircraft that
is registered or licensed in a state or country outside Utah.
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Ski Resort
I certify the snow-making equipment, ski slope grooming equipment
or passenger rope-ways purchased are to be paid directly with
funds from the ski resort noted on the front of this form.
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Qualifying Data Center
I certify the machinery, equipment or normal operating repair or
replacement parts are: (1) used in a qualifying data center as
defined in UCA §59-12-102; (2) used in the operations of the
qualifying data center or in an occupant’s operations in the qualify-
ing data center; and (3) have an economic life of one or more years.
Leasebacks
I certify: (1) the leased tangible personal property is part of a
sale-leaseback transaction; (2) sales or use tax was paid on the
initial purchase; and (3) the leased property will be capitalized and
the lease payments will be accounted for as payments made under
a financing arrangement.
Film and Television
I certify purchases, leases or rentals of machinery or equipment will
be used for production and post-production of media for commercial
distribution by a motion picture or video production company.
Out-of-State Construction Materials
I certify I am taking possession in Utah of tangible personal proper-
ty that will become part of real property in another state that: (1)
does not have sales tax, (2) taxes sales at a lower rate, or (3) does
not allow credit for tax paid to Utah. I will report the tax on my next
Utah return at a rate equal to the lesser of: (1) the rate in Utah
where the property was purchased, or (2) the rate in the state where
the tangible personal property is converted to real property if that
state allows a credit for tax paid to Utah.
Agricultural Producer
I certify the items will be used primarily and directly for commercial
farming and qualify for the sales and use tax exemption. This
exemption does not apply to vehicles required to be regis-
tered.
Tourism/Motor Vehicle Rental
I certify the motor vehicle being leased or rented will be temporarily
used to replace a motor vehicle that is being repaired pursuant to a
repair or an insurance agreement; the lease will exceed 30 days;
the motor vehicle being leased or rented is registered for a gross
laden weight of 14,001 pounds or more; or, the motor vehicle is
being rented or leased as a personal household goods moving van.
This exemption applies only to the tourism tax (up to 7 percent) and
the short-term motor vehicle rental tax (Transportation Corridor
Funding – 2.5 percent) – not to the state, local, transit, zoo, hospital,
highways, county option or resort sales tax.
Textbooks for Higher Education
I certify that textbooks purchased are required for a higher education
course, for which I am enrolled at an institution of higher education,
and qualify for this exemption. An institution of higher education
means: the University of Utah, Utah State University, Utah State
University Eastern, Weber State University, Southern Utah Universi-
ty, Snow College, Dixie State University, Utah Valley University, Salt
Lake Community College, or the Utah System of Technical Colleges.
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Direct Mail
I certify I will report and pay the sales tax for direct mail purchases
on my next Utah Sales and Use Tax Return.
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Qualifying Energy Storage Manufacturing Facility
I certify that the amount paid or charged is by an operator of a
qualifying energy storage manufacturing facility for either: (1)
tangible personal property that is incorporated into equipment or a
device that stores and discharges energy at the facility; or (2) the
purchase or lease of machinery, equipment, or normal operating
repair or replacement parts used exclusively in the operation of the
facility.
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Sports Zone Construction Materials
I certify that the construction materials will be used in the
construction, remodeling or refurbishment of a major sporting event
venue within a Sports Zone.