CHECK ONE:
PENNSYLVANIA TAX UNIT EXEMPTION CERTIFICATE (USE FOR ONE TRANSACTION)
PENNSYLVANIA TAX BLANKET EXEMPTION CERTIFICATE (USE FOR MULTIPLE TRANSACTIONS)
Name of Seller, Vendor or Lessor
Street City State ZIP Code
NOTE: Do not use this form for claiming an exemption on the registration of a vehicle. To claim an exemption from tax for a motor vehi-
cle, trailer, semi-trailer or tractor with the PA Department of Transportation, Bureau of Motor Vehicles, use one of the following forms:
FORM MV-1, Application for Certificate of Title (first-time registrations)
FORM MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration (other registrations)
Property and services purchased or leased using this certificate are exempt from tax because: (Select the appropriate paragraph
from the back of this form, check the corresponding block below and insert information requested).
1. Property or services will be used directly and predominately by purchaser in performing purchaser's operation of:
2. Purchaser is a/an: holding Sales Tax Exemption Number
3. Property will be resold under License ID (If purchaser does not have a PA Sales Tax License ID, include a
statement under Number 8 explaining why a number is not required).
4. Property or services will be used directly and predominately by purchaser performing a public utility service.
PA Public Utility Commission PUC Number and/or U.S. Department of Transportation MC/MX
5. Exempt wrapping supplies, License ID (If purchaser does not have a PA Sales Tax License ID, include
a statement under Number 8 explaining why a number is not required).
6. Canned computer software purchased by a financial institution subject to the Bank and Trust Company Shares Tax (Article VII) or the Mutual Thrift
Institutions Tax (Article XV).
7. Canned computer software licenses that are billed to a PA address but used outside of PA. The total number of software licenses purchased for
invoice # is . The total number of users accessing and using the software outside PA is .
8. Other
(Explain in detail. Additional space on reverse side).
I am authorized to execute this certificate and claim this exemption. Misuse of this certificate by seller, lessor, buyer, lessee or their
representative is punishable by fine and imprisonment.
Name of Purchaser or Lessee Signature EIN Date
Street City State ZIP Code
REV-1220 (TR) 07-23 (FI)
Read Instructions
On Reverse Carefully
PENNSYLVANIA EXEMPTION
CERTIFICATE
STATE AND LOCAL SALES AND USE TAX
STATE 6% AND LOCAL 1% HOTEL OCCUPANCY TAX
PUBLIC TRANSPORTATION ASSISTANCE TAXES AND FEES (PTA)
VEHICLE RENTAL TAX (VRT)
ADDITIONAL LOCAL, CITY, COUNTY HOTEL TAX
*
This form cannot be used to
obtain a Sales Tax License ID,
PTA License ID or Exempt
Status.
THIS FORM MAY BE PHOTOCOPIED – VOID UNLESS COMPLETE INFORMATION IS SUPPLIED
1. ACCEPTANCE AND VALIDITY:
For this certificate to be valid, the seller/lessor shall exercise good faith in accepting this certificate, which includes: (1) the certificate shall be completed
properly; (2) the certificate shall be in the seller/lessor's possession within 60 days from the date of sale/lease; (3) the certificate does not contain infor-
mation which is knowingly false; and (4) the property or service is consistent with the exemption to which the customer is entitled. For more information,
refer to Exemption Certificates, Title 61 PA Code §32.2. An invalid certificate may subject the seller/lessor to the tax.
2. REPRODUCTION OF FORM:
This form may be reproduced but shall contain the same information as appears on this form.
3. RETENTION:
The seller or lessor must retain this certificate for at least four years from the date of the exempt sale to which the certificate applies.
IMPORTANT: DO NOT RETURN THIS FORM TO THE PA DEPARTMENT OF REVENUE.
4. NONPROFIT EXEMPT ORGANIZATIONS:
This form may be used in conjunction with form REV-1715, Exempt Organization Declaration of Sales Tax Exemption, when a purchase of $200 or more
is made by an organization which is registered with the PA Department of Revenue as an exempt organization. These organizations are assigned an
exemption number, beginning with the two digits 75 (example: 75000000).
(Please Print or Type)
START
➜
Please sign after printing.
PRINT
NEXT PAGE
TOP OF PAGE
Reset Entire Form
1.) Property and/or services will be used directly and predominately by pur-
chaser in performing purchaser's operation of:
A. Manufacturing
B. Mining
C. Dairying
D. Processing
E. Farming
F. Shipbuilding
G. Timbering
This exemption is not valid for property or services used in: (a) construct-
ing, repairing or remodeling of real property, other than real property used
directly in exempt operations; or (b) maintenance, managerial, administra-
tive, supervisory, sales, delivery, warehousing or other nonoperational
activities. This exemption is not valid for vehicles that are required to be
registered under the Vehicle Code, as well as supplies and repair parts for
such vehicles, the PTA tire fee, and certain taxable services.
2.) Purchaser is a/an:
+ A. Instrumentality of the commonwealth (to include public
schools and state universities).
+ B. Political subdivision of the commonwealth (includes townships
and boroughs).
+ l C. Municipal authority created under the Municipality Authorities
Acts.
+ l D. Electric cooperative corporations created under the Electric
Cooperative Law of 1990.
l E. Cooperative agricultural associations required to pay corpo-
rate net income tax under the Cooperative Agricultural
Association Corporate Net Income Tax Act (exemption not
valid for registered vehicles).
+ l F. Credit unions organized under Federal Credit Union Act or
Commonwealth Credit Union Act.
+ l G. U.S. government, its agencies and instrumentalities.
l H. Federal employee on official business (exemption limited to
hotel occupancy tax only. A copy of orders or statement from
supervisor must be attached to this certificate).
I. School bus operator (This exemption certificate is limited to
the purchase of parts, repairs or maintenance services upon
vehicles licensed as school buses by the PA Department of
Transportation).
J. Charter Schools and Community Colleges.
Renewable Entities beginning with “75”:
K. Religious Organization
L. Nonprofit Educational Institution
M. Charitable Organization
Permanent Exemptions beginning with the two numbers “75”:
N. Volunteer Fire Company
O. Relief Association
Special Exemptions
P. Direct Pay Permit Holder
Q. Individual Holding Diplomatic ID
R. Keystone Opportunity Zone (beginning with two digit 72
account number)
S. Tourist Promotion Agency
Exemptions for exempt organizations K through S are limited to purchases
of tangible personal property or services for use and not for sale. Exempt
organizations K - O above, shall have an sales tax exemption certificate
number assigned by the PA Department of Revenue. Exempt organiza-
tions K-O above, are not exempt for purchases used for the following: (1)
constructions, improvement, repair or maintenance or any real property,
except supplies and materials used for routine repair or maintenance of the
real property; (2) any unrelated activities or operation of a public trade or
business; or (3) equipment used to maintain real property.
3.) Property and/or services will be resold or rented in the ordinary course of
purchaser's business. If purchaser does not have a PA Sales Tax License
ID (8 digit number assigned by the department), complete Number 8
explaining why such number is not required. This exemption is valid for
property or services to be resold: (1) in original form; or (2) as an ingredient
or component of other property.
4.) Property or services will be used directly and predominately by purchaser
in the production, delivery or rendition of public utility services as defined
by the PA Utility Code.
This exemption is not valid for property or services used for the following:
(1) construction, improvement, repair or maintenance of real property,
other than real property used directly in rendering the public utility services;
or (2) managerial, administrative, supervisor, sales or other nonopera-
tional activities; or (3) vehicles, as well as supplies and repair parts for
such vehicles, unless the predominant use is for providing a common car-
rier service; or (4) tools and equipment used but not installed in mainte-
nance of facilities or direct use equipment. Tools and equipment used to
repair "direct use" property are exempt from tax.
5.) Vendor/seller purchasing wrapping supplies and nonreturnable containers
used to wrap property which is sold to others.
6.) Canned computer software or services to canned computer software
directly utilized in conducting the business of banking purchased by a
financial institution subject to the Bank and Trust Company Shares Tax
(Article VII) or the Mutual Thrift Institutions Tax (Article XV).
7.) Seller is required to collect tax on canned software accessed remotely
when the user is located in PA. If the billing address is a PA address, the
presumption is that all users are located in PA. Purchaser is responsible
for apportioning and remitting the tax due to each taxing jurisdiction and
must provide the total number of licenses purchased and the number of
those licenses used outside PA on Line 8. Please note that any unused
licenses will be considered to be allocated to PA.
8.) Other (Attach a separate sheet of paper if more space is required).
*
Employees or representatives of the Commonwealth traveling on
Commonwealth duty are exempt from any taxes on hotel stays or room rentals
imposed by local governments that are in addition to the 6% state tax and the
1% Philadelphia and Allegheny County hotel occupancy tax.
GENERAL INSTRUCTIONS
Those purchasers set forth below may use this form in connection with the claim
for exemption for the following taxes:
a. State and local sales and use tax;
b. PTA rental fee or tax on leases of motor vehicles;
c. Hotel occupancy tax (state 6%, Philadelphia 1%, Allegheny 1%) if
referenced with the symbol (●);
d. PTA fee on the purchase of tires if referenced with the symbol (+);
e. Vehicle rental tax (VRT).
EXEMPTION REASONS
PRINT
TOP OF PAGE
RETURN TO PAGE 1
Reset Entire Form
