Iowa Tax Form

Iowa Tax Form
RE-SALE/TAX-EXEMPTION
FAX COVER SHEET
Please fax this cover sheet along with your
re-sale/tax exemption documentation to 480-609-5840
Buyers must submit re-sale/tax-exemption documentation from the state in which they are
doing business as well as the state(s) where they are purchasing property. Submission of all
appropriate tax exemption form(s) must be received by GL before 5:00 p.m. ET on the date
the sales event in which the Buyer is participating closes.
Number of pages including cover ____________
Customer Name
_______________________________________
Company Name
_______________________________________
Fax Number
_______________________________________
*Customer Number
_______________________________________
Please indicate which state’s tax forms you are submitting
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
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Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
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Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Your customer number is an eight-digit number starting with 770…and is available on the top left corner of
your invoice as well as at the top of the page on your “Profile” tab.
Scottsdale Support Office
15051 N Kierland Blvd. s 3rd Floor s Scottsdale, Arizona 85254
Fax: (480) 609-5840 s Customer Service Hotline: (480) 367-1300
Website: www.govliquidation.com
Iowa Department of Revenue
www.state.ia.us/tax
Iowa Sales Tax Exemption Certificate
This document is to be completed by a purchaser whenever claiming exemption from sales/use tax. Seller: Keep this certificate
in your files. Purchaser: Keep a copy of this certificate for your records. Do not send this to the Department of Revenue.
Purchaser Name
Seller Name
Address
Address
City
State
Zip Code
City
State
Zip Code
General Nature of Business
Purchaser is claiming exemption for the following reason:
Purchaser is doing business as a:
Resale
Retailer
Leasing
Processing
Sales tax permit no. : ____________________________
Qualifying Farm Machinery/Equipment
Wholesaler
Farmer
Qualifying Industrial Machinery/Equipment
Manufacturer
Nonprofit Hospital
Lessor
Qualifying Replacement Parts
Qualifying Computer
Private Nonprofit Educational Institution
Pollution Control Equipment
Recycling Equipment
Governmental Agency (including public schools)
Research and Development Equipment
Qualifying Residential Care Facility
Direct Pay (permit no. required): __________________
Non-Profit Museum
Other: __________________________________
Other: ____________
Description of Purchase: Attach additional information if necessary. _________________________________________________________________
Under penalty of perjury, I swear that the information on this form is true and correct.
Signature of Purchaser _________________________________________ Title ___________________________ Date _________________ 31-014 (1/00)
Exemption Certificate Instructions
This exemption certificate is to be completed by the purchaser claiming exemption from tax and given to the seller. The seller must retain this certificate
as proof that exemption has been properly claimed. The certificate must be complete to be accepted by the seller. The seller can accept an exemption
certificate only on property that is qualified (see the exemptions below) or based on the nature of the buyer. A seller failing to exercise due care could be
held liable for the sales tax due. If property or services purchased for resale or processing are used or disposed of by the purchaser in a nonexempt
manner, the purchaser is then responsible for the tax.
Exemptions:
Resale: Any person in the business of selling who is purchasing items to resell may claim this exemption. The purchaser can be acting as either a retailer
or wholesaler and may not be required to have a sales tax permit. Retailers who do have a sales tax permit number must enter it in the space provided.
Processing: Exempt purchases for processing include tangible personal property which by means of fabrication, compounding, manufacturing or
germination becomes an integral part of other tangible personal property ultimately sold at retail; chemicals, solvents, sorbents or reagents used,
consumed, dissipated or depleted in processing personal property intended to be sold ultimately at retail; fuel used to create heat, power or steam for
processing or used to generate electric current; and chemicals used in the production of free newspapers and shoppers.
Leasing: Exemption is applicable only to property leased where the lessor is in the business of leasing, the lease is for more than five months, and the
lease or rental receipts are subject to Iowa sales tax.
Qualifying Farm Machinery/Equipment: The farm machinery or equipment must be directly and primarily used in agricultural production; and must be:
1. a self-propelled implement such as a tractor
2. a grain dryer (heater and blower only)
3. an implement customarily drawn or attached to a self-propelled implement in the performance of its function, such as a plow
4. auxiliary equipment improving safety, maintenance and efficiency of items 1, 2, 3
5. tangible personal property that does not become a part of real property used directly and primarily in dairy and livestock operations
6. bailing wire, twine, wrapping and other similar items used in agricultural, livestock or dairy production
7. an essential replacement part for 1, 2, 3, 4, 5
Qualifying Industrial Machinery/Equipment: This machinery or equipment must be:
• used by a manufacturer
• directly and primarily used in processing tangible personal property or certain other research activities
• certain replacement parts for the above; this does not include supplies
Qualifying Computers:
• sold to commercial enterprise, insurance company, or financial institution
• certain replacement parts; this does not include supplies
Direct Pay: Businesses and individuals who pay their taxes directly to the Department rather than to the seller must enter their Direct Pay permit
number in the space provided.
Private Nonprofit Educational Institutions: Purchases made by private nonprofit educational institutions used for educational purposes are exempt.
NOT EXEMPT from sales tax are purchases by most other private nonprofit organizations such as churches, fraternal organizations, etc., for
use by those organizations.
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