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Utah State Tax Commission
                                                                                                                                                 TC-721G
                                 Exemption Certificate for Governments & Schools
                                                                                                                                                   Rev. 12/08
                                                      (Sales, Use, Tourism and Motor Vehicle Rental Tax)

 Name of institution claiming exemption (purchaser)                                                                       Telephone Number


 Street Address                                                                     City                                  State              ZIP Code


 Authorized Signature                                         Name (please print)                                         Title


                                                                                                                          Date
 Name of Seller or Supplier:

The person signing this certificate MUST check the applicable box showing the basis for which the exemption is being claimed.
Questions should be directed (preferably in writing) to Taxpayer Services, Utah State Tax Commission, 210 N 1950 W, Salt Lake City, UT 84134.
Telephone (801) 297-2200, or toll free 1-800-662-4335.

                        DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION
                                               Keep it with your records in case of an audit.



❑                                                                                    ❑
     UNITED STATES GOVERNMENT OR NATIVE AMERICAN TRIBE                                     UTAH STATE AND LOCAL GOVERNMENTS AND PUBLIC
                                                                                           ELEMENTARY AND SECONDARY SCHOOLS
     I certify the tangible personal property or services purchased are to
     be paid directly with funds from the entity noted on this form and will               Sales Tax License No. ___________ _ _             ___
     be used in the exercise of essential governmental or tribal functions.                I certify the tangible personal property or services purchased are to
     NOTE: Includes sales of tangible personal property to federally                       be paid directly with funds from the entity noted on this form and will
     chartered credit unions. “Directly” does not include per diem, entity                 be used in the exercise of that entity’s essential functions. For
     advances or similar indirect payments.                                                construction materials, if the purchaser is a Utah state or local

❑
                                                                                           government, these construction materials will be installed or
     CONSTRUCTION MATERIALS PURCHASED FOR SCHOOLS                                          converted into real property by employees of this government entity.
     OR PUBLIC TRANSIT DISTRICTS                                                           “Directly” does not include per diem, entity advances, or similar
     I certify the construction materials purchased are on behalf of a                     indirect payments. CAUTION: This exemption does not apply to
     public elementary or secondary school, or public transit district. I                  government or educational entities of other states.
     further certify the purchased construction materials will be installed
     or converted into real property owned by the school or public transit
     district.
     Name of school or public transit district:
     __ _ _ _ _ _____________________
          _____
     Name of project: _ _________________
                          _                                     ____




               IMPORTANT: To protect your privacy, use the quot;Clear formquot; button when you are finished.                                Clear form




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.
Please sign, date and, if applicable, include your license or exemption number.
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

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tax.utah.gov forms current tc tc-721g

  • 1. Utah State Tax Commission TC-721G Exemption Certificate for Governments & Schools Rev. 12/08 (Sales, Use, Tourism and Motor Vehicle Rental Tax) Name of institution claiming exemption (purchaser) Telephone Number Street Address City State ZIP Code Authorized Signature Name (please print) Title Date Name of Seller or Supplier: The person signing this certificate MUST check the applicable box showing the basis for which the exemption is being claimed. Questions should be directed (preferably in writing) to Taxpayer Services, Utah State Tax Commission, 210 N 1950 W, Salt Lake City, UT 84134. Telephone (801) 297-2200, or toll free 1-800-662-4335. DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION Keep it with your records in case of an audit. ❑ ❑ UNITED STATES GOVERNMENT OR NATIVE AMERICAN TRIBE UTAH STATE AND LOCAL GOVERNMENTS AND PUBLIC ELEMENTARY AND SECONDARY SCHOOLS I certify the tangible personal property or services purchased are to be paid directly with funds from the entity noted on this form and will Sales Tax License No. ___________ _ _ ___ be used in the exercise of essential governmental or tribal functions. I certify the tangible personal property or services purchased are to NOTE: Includes sales of tangible personal property to federally be paid directly with funds from the entity noted on this form and will chartered credit unions. “Directly” does not include per diem, entity be used in the exercise of that entity’s essential functions. For advances or similar indirect payments. construction materials, if the purchaser is a Utah state or local ❑ government, these construction materials will be installed or CONSTRUCTION MATERIALS PURCHASED FOR SCHOOLS converted into real property by employees of this government entity. OR PUBLIC TRANSIT DISTRICTS “Directly” does not include per diem, entity advances, or similar I certify the construction materials purchased are on behalf of a indirect payments. CAUTION: This exemption does not apply to public elementary or secondary school, or public transit district. I government or educational entities of other states. further certify the purchased construction materials will be installed or converted into real property owned by the school or public transit district. Name of school or public transit district: __ _ _ _ _ _____________________ _____ Name of project: _ _________________ _ ____ IMPORTANT: To protect your privacy, use the quot;Clear formquot; button when you are finished. Clear form 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. Please sign, date and, if applicable, include your license or exemption number. 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