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Name of purchaser, firm or
agency |
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Address (Street &
number, P.O. Box or Route number) |
Phone (Area code and
number) |
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City, State, ZIP code |
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I, the
purchaser named above, claim an exemption from payment of sales and use taxes
(for the purchase of taxable items described below or on the attached order or
invoice) from:
Seller:
ADVANCED INVESTIGATIVE & SCREENING SOLUTIONS
Street Address:
6046 FM 2920 #103
City, State, ZIP code:
SPRING,
Description of items to be purchased
or on the attached order or invoice:
INVESTIGATIVE SERVICES ORDERED OUT OF STATE (NON
Purchaser claims this exemption for
the following reason:
PURCHASER IS NOT IN THE STATE OF
I understand
that I will be liable for payment of sales or use taxes which may become due
for failure to comply with the provisions of the Tax Code: Limited Sales,
Excise, and Use Tax Act; Municipal Sales and Use Tax Act; Sales and Use Taxes
for Special Purpose Taxing Authorities; County Sales and Use Tax Act; County
Health Services Sales and Use Tax; The Texas Health and Safety Code; Special
Provisions Relating to Hospital Districts, Emergency Services Districts, and
Emergency Services Districts in counties with a population of 125,000 or less. I
understand that it is a criminal offense to give an exemption certificate to
the seller for taxable items that I know, at the time of purchase, will be used
in a manner other than that expressed in this certificate and, depending on the
amount of tax evaded, the offense may range from a Class C misdemeanor to a
felony of the second degree. Purchaser Title Date
PURCHASER:_______________________________________
TITLE:_______________ DATE:_______________
NOTE:
This certificate cannot be issued for the purchase, lease, or rental of a motor
vehicle.
THIS CERTIFICATE DOES NOT REQUIRE A NUMBER TO BE
VALID.
Sales and Use
Tax "Exemption Numbers" or "Tax Exempt" Numbers do not
exist.
This
certificate should be furnished to the supplier. Do not send the
completed certificate to the Comptroller of Public Accounts.