ATTENTION. This Sales and Use Tax Exemption Certificate Application is for: 1. FIRST TIME sales and use exemption certificate filers or;
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1 ATTENTION This Sales and Use Tax Exemptin Certificate Applicatin is fr: 1. FIRST TIME sales and use exemptin certificate filers r; 2. Organizatins hlding a card with expiratin date f 2012 r earlier. 3. This frm is nly fr a nnprfit rganizatin, if yu are nt a nnprfit rganizatin and want t apply fr a resale certificate, yu must have a valid Maryland sales and use tax license. T apply fr ne, yu must cmplete the Cmbined Registratin Applicatin, nline here: r by paper applicatin. Fr the paper applicatin r mre infrmatin abut resale certificates please visit If yur rganizatin is RENEWING its sales and use tax exemptin certificate that expires September 30, then yur rganizatin must apply fr the renewal f the sales and use tax exemptin certificate.
2 SALES AND USE TAX EXEMPTION CERTIFICATE All applicants must cmplete this page and Schedules A thrugh D. Applicants that are churches hlding wrship services r ther religius rganizatins hlding wrship services must als cmplete Schedule E. Failure t cmplete all required fields and schedules will result in the applicatin being returned. 1. Federal Emplyer Identificatin Number () (9 digits) (See instructins) 2. Full legal name f rganizatin 3. Street Address f physical business lcatin (PO Bx nt acceptable) City Cunty State ZIP cde +4 Telephne number Fax number address 4. Mailing Address (PO Bx acceptable) City State ZIP cde +4 5a. Please cmplete fr authrized fficer respnsible fr taxes. (Required). An Authrized Officer is a persn frmally empwered by a business entity t cnduct business n its behalf, r a persn wh can act in an fficial capacity n behalf f the rganizatin, such as an executive directr, CEO, CFO, COO, president, secretary, treasurer, deacn, elder, pastr r any ther fficer specified by the rules f peratin, Articles f Incrpratin r Bylaws. Last Name First Name Scial Security Number (REQUIRED) Title Hme Telephne Hme address City State ZIP 5b. Identify secnd crprate fficer, trustee r member f rganizatin (must be different frm individual listed in 5a). (Required). Last Name First Name Scial Security Number (REQUIRED) Title Hme Telephne Hme address City State ZIP 6. Describe the nnprfit business activity r service f the rganizatin that generates revenue. 7. Are yu a nn-prfit rganizatin exempt under Sectin 501(c)(3) f the Internal Revenue Cde? Yes N If n, Sectin (c) ( ) r Other: Sectin. 8. Des the business have any physical lcatins in Maryland? Yes N (D nt cunt client sites r ff site prjects that will last less than ne year.) Under penalties f perjury, I declare that I have examined this applicatin and t the best f my knwledge and belief it is true, crrect and cmplete. Check here if a pwer f attrney frm is attached. * Print Name Title Signature** Date Name f Preparer ther than applicant Telephne number address * Beginning January 1,, The Cmptrller s Office will nly accept the Maryland Frm 548 (Pwer f Attrney). This frm will nt replace a Durable Pwer f Attrney r any ther Pwer f Attrney Frm authrized by Maryland Law. ** If the business is a crpratin, an fficer f the crpratin authrized t sign n behalf f the crpratin must sign; if a partnership, ne partner must sign; if an unincrprated assciatin, ne member must sign; if a sle prprietrship, the prprietr must sign. (The signature f any ther persn will nt be accepted unless a pwer f attrney is attached.).
3 Organizatin name SCHEDULE A Generally, under Maryland law, if yu apply fr a Maryland sales and use tax exemptin certificate as a religius, educatinal, r charitable rganizatin, yu must be qualified under Internal Revenue Cde (IRC) 501(c)(3). Attach yur rganizatin s Internal Revenue Service issued IRC 501(c)(3) determinatin letter. (D NOT send yur letter, but a cpy f yur rganizatin s IRS determinatin letter.) Organizatins Using Grup Exemptins: If yu are cvered under a grup exemptin, yu must attach a cpy f the Internal Revenue Service issued IRC 501(c)(3) determinatin letter fr yur parent rganizatin and a letter n letterhead frm the hlder f the grup exemptin that yu are cvered under that grup number (the letter must be signed by an authrized fficer f the parent rganizatin) r current directry, such as the Cathlic directry. Veteran s Organizatins: Attach yur Internal Revenue Service IRC 501(c)(4) r IRC 501(c)(19) letter.
4 Organizatin name SCHEDULE B Attach Articles f Incrpratin and any amendments. Include all name change amendments, if any. All Articles f Incrpratin must be signed. The Articles f Incrpratin r Bylaws must cntain a disslutin clause that prvides fr distributin f assets upn disslutin fr exempt purpses cnfrming t IRS rules. Please indicate the disslutin clause by tabbing r highlighting the sectin.
5 Organizatin name SCHEDULE C Attach Bylaws and any amendments. These must be signed if signature blck is prvided. The Articles f Incrpratin r Bylaws must cntain a disslutin clause that prvides fr distributin f assets upn disslutin fr exempt purpses cnfrming t IRS rules. Please indicate the disslutin clause by tabbing r highlighting the sectin.
6 Organizatin name SCHEDULE D Fr Organizatins Physically Lcated in Maryland Yu may be required t register as a nn-stck r religius rganizatin and be in gd standing with the Maryland State Department f Assessments and Taxatin (SDAT), pursuant t Title 5 f the Crpratins and Assciatins Article. If s, yur applicatin cannt be prcessed until yu are in gd standing. The standing f yur rganizatin may be cnfirmed n SDAT s nline business database which can be accessed at: Yu must attach a letter f gd standing issued by SDAT r a printut frm the SDAT nline database indicating the rganizatin is in gd standing. Nte the printut is free f charge. Fr Organizatins Physically Lcated in Delaware Yu must attach a certificate f gd standing frm the Delaware Divisin f Crpratins. Fr Organizatins Physically Lcated in Pennsylvania Yu must attach a certificate f gd standing frm the Pennsylvania Department f State. Yu must attach yur rganizatin s sales and use tax exemptin certificate frm Pennsylvania. Fr Organizatins Physically Lcated in Virginia Yu must attach a certificate f gd standing frm the Virginia State Crpratin Cmmissin. Yu must attach yur rganizatin s sales and use tax exemptin certificate frm Virginia. Fr Organizatins Physically Lcated in West Virginia Yu must attach a certificate f gd standing frm the West Virginia Secretary f State. Yu must attach yur rganizatin s sales and use tax exemptin certificate frm West Virginia. Fr Organizatins Physically Lcated in Washingtn, D.C. Yu must attach a certificate f gd standing frm the District f Clumbia Department f Cnsumer and Regulatry Affairs. Yu must attach yur rganizatin s sales and use tax exemptin certificate frm Washingtn, D.C.
7 Organizatin name SCHEDULE E If yur rganizatin is a church that hlds wrship services r ther religius rganizatin that hlds wrship services, yu must cmplete Schedule E. Submit a cpy f the rental/lease agreement and yur latest wrship bulletin fr the lcatin f yur wrship services if yur physical address n the applicatin is nt the wrship lcatin and yu rent/lease a separate lcatin. If yu wrship ut f a persnal residence, yu must attach an agreement frm yur lcal cunty zning bard r cunty regulatin which allws fr a hme church.
8 Organizatin name Instructins Qualifying rganizatins must cmplete Maryland Sales and Use Tax Exemptin Certificate Applicatin ( Applicatin) and attach the required dcuments t the crrespnding schedules. The Applicatin and applicable schedules must be cmpleted in their entirety fr the applicatin t be prcessed. Generally, under Maryland law, if yu apply fr a Maryland Sales and Use Tax Exemptin Certificate as a religius, educatinal, r charitable rganizatin, yu must be qualified under Internal Revenue Cde (IRC) Sectin 501(c)(3). Yu als must perate yur rganizatin ut f physical business lcatin in Maryland, Delaware, Pennsylvania, Virginia, Washingtn, D.C. r West Virginia. Maryland law prvides that yu must be in Maryland r ne f these adjacent jurisdictins t qualify. Other states DO NOT qualify and yur applicatin will be denied. Frm All fields must be cmpleted. Enter the Federal Emplyer Identificatin Number () f the applicant n line 1. A is required by: all crpratins, LLCs, partnerships, nnprfit rganizatins, and sle prprietrships wh pay wages t ne r mre emplyees. A sle prprietrship with n emplyees, ther than self, is nt required t have a. If yu d nt have a, ne can be btained by visiting the IRS at Fr the purpses f cmpleting line 5a, an Authrized Officer is a persn frmally empwered by a business entity t cnduct business n its behalf, r a persn wh can act in an fficial capacity n behalf f the rganizatin, such as an executive directr, CEO, CFO, COO, president, secretary, treasurer, deacn, elder, pastr r any ther fficer specified by the rules f peratin, Articles f Incrpratin r Bylaws. Schedule A: Attach yur rganizatin s Internal Revenue Service issued IRC 501(c)(3) determinatin letter. (D NOT send yur letter, but a cpy f the IRS determinatin letter fr yur rganizatin.) Organizatins Using Grup Exemptins: If yu are cvered under a grup exemptin, yu must attach a cpy f the Internal Revenue Service issued IRC 501(c)(3) determinatin letter fr yur parent rganizatin and a letter n letterhead frm the hlder f the grup exemptin that yu are cvered under that grup number (the letter must be signed by an authrized fficer f the parent rganizatin) r current directry, such as the Cathlic directry. Schedule B: Attach Articles f Incrpratin and any amendments. Include all name change amendments, if any. All Articles must be signed. The Articles f Incrpratin r Bylaws must cntain a disslutin clause that prvides fr distributin f assets upn disslutin fr exempt purpses cnfrming t IRS rules. Please indicate the disslutin clause by tabbing r highlighting the sectin. Schedule C: Attach Bylaws and any amendments. These must be signed if signature blck is prvided. The Articles f Incrpratin r Bylaws must cntain a disslutin clause that prvides fr distributin f assets upn disslutin fr exempt purpses cnfrming t IRS rules. Please indicate the disslutin clause by tabbing r highlighting the sectin. Schedule D: Fr rganizatins lcated in Maryland, yu may be required t register as a nn-stck r religius rganizatin and be in gd standing with the Maryland State Department f Assessments and Taxatin (SDAT), under Title 5 f the Crpratins and Assciatins Article. Yur applicatin will nt be prcessed until yu are in gd standing. Fr rganizatins lcated in Delaware, yu must attach a certificate f gd standing t the Delaware Divisin f Crpratins. Fr rganizatins physically lcated in Pennsylvania, Virginia, West Virginia, r Washingtn, D.C., yu must attach the sales and use tax exemptin certificate frm the hme state f the rganizatin and a letter f gd standing frm the hme state f the rganizatin. Schedule E: If yur rganizatin is a church that hlds wrship services r ther religius rganizatin that hlds wrship services, yu must cmplete Schedule E. Submit a cpy f the rental/lease agreement fr the lcatin f yur wrship services if yur physical address n the applicatin is nt the wrship lcatin and yu rent/lease a separate lcatin. If yu wrship ut f a persnal residence, yu must attach an agreement frm yur lcal cunty zning bard r cunty regulatin which allws fr a hme church. Veterans Organizatins: Yu must submit the cmpleted Applicatin, Schedule A, and submit a certificate f gd standing under Schedule D if the rganizatin is registered with the Maryland Department f Assessments and Taxatin. Please cntact with questins regarding the Applicatin. Please allw six t eight weeks fr the initial review f the applicatin. If additinal infrmatin is required, ur ffice will cntact yu. If apprved, yu will receive yur certificate by U.S. mail. Legal Sectin - Cmptrller f Maryland Revenue Administratin Center 110 Carrll Street Annaplis, MD 21411
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