EFTA00317322.pdf

New York State Department of Taxation and Finance New York State and Local Sales and Use Tax ST-120 (4/10) Resale Certificate Name of seller Name of purchaser Klaffs SLK Designs Street address Street address 28 Washington Street 301 East 66th Street. 10F City State ZIP code City State ZIP code South Norwalk CT 06854-2705 NY NY 10065 Mark an X in the appropriate box: gj Single-use certificate Blanket certificate Temporary vendors must issue a single-use certificate. To the purchaser: You may not use this certificate to purchase items or services that are not for resale. If you purchase tangible personal property or services for resale, but use or consume the tangible personal property or services yourself in New York State, you must report and pay the unpaid tax directly to New York State. Any misuse of this certificate will result in tax liabilities and substantial penalty and interest. Purchaser information - please type or print I am engaged in the business of Interior Design and principally sell (Contractors may not use this certificate to purchase materials and supplies.) Part 1 —To be completed by registered New York State sales tax vendors I certify that I am: a New York State vendor (including a hotel operator or a dues or admissions recipient), show vendor or entertainment vendor. My valid Certificate of Authority number is 80-0844023 a New York State temporary vendor. My valid Certificate of Authority number is and expires on I am purchasing: El A. Tangible personal property (other than motor fuel or diesel motor fuel) • for resale in its present form or for resale as a physical component part of tangible personal property; • for use in performing taxable services where the property will become a physical component part of the property upon which the services will be performed, or the property will actually be transferred to the purchaser of the taxable service in conjunction with the performance of the service: or El B. A service for resale. including the servicing of tangible personal property held for sale. Part 2 —To be completed by non-New York State purchasers I certify that I am not registered nor am I required to be registered as a New York State sales tax vendor. I am registered to collect sales tax or value added tax (VAT) in the following state/jurisdiction and have been issued the following registration number (If sales tax or VAT registration is not required and a registration number is not issued by your home jurisdiction, indicate the location of your business and write not applicable on the line requesting the registration number.) I am purchasing: El C. Tangible personal property (other than motor fuel or diesel motor fuel) for resale, and it is being delivered directly by the seller to my customer or to an unaffiliated fulfillment services provider in New York State. El D. Tangible personal property for resale that will be resold from a business located outside New York State. Certification: I certify that the above statements are true, complete, and correct, and that no material information has been omitted. I make these statements and issue this exemption certificate with the knowledge that this document provides evidence that state and local sales or use taxes do not apply to a transaction or transactions for which I tendered this document and that willfully issuing this document with the intent to evade any such tax may constitute a felony or other crime under New York State Tax Law Article 37, punishable by a substantial fine and a possible jail sentence. I understand that this document is required to be filed with, and delivered to, the vendor as agent for the Tax Department for the purposes of Tax Law section 1838 and is deemed a document required to be filed with the Tax Department for the purpose of prosecution of offenses. I also understand that the Tax Department is authorized to investigate the validity of tax exclusions or exemptions claimed and the accuracy of any information entered on this document. Type or print name and title of owner, partner, or authorized person of purchaser Lesley Groff Signature of owner, partner, or authorized person of purchaser Date prepared Oct. 3, 2013 Substantial penalties will result from misuse of this certificate. EFTA00317322 ST-120 (4/10) (back) Instructions Form ST-120, Resale Certificate, is a sales tax exemption certificate. To the Purchaser This certificate is only for use by a purchaser who: Enter all the information requested on the front of this form. A — is registered as a New York State sales tax vendor and has a valid Certificate of Authority issued by the Tax Department and You may mark an X in the Blanket certificate box to cover all purchases is making purchases of tangible personal property (other than of the same general type of property or service purchased for resale. motor fuel or diesel motor fuel) or services that will be resold or If you do not mark an X in the Blanket certificate box, the certificate transferred to the purchaser's customers, or will be deemed a Single-use certificate. Temporary vendors may not issue a blanket certificate. A temporary vendor is a vendor (other than a B — is not required to be registered with the New York State Tax show or entertainment vendor), who, in no more than two consecutive Department; quarters in any 12-month period, makes sales of tangible personal — is registered with another state, the District of Columbia, a property or services that are subject to tax. province of Canada, or other country, or is located in a state, province, or country which does not require sellers to register for This certificate does not exempt prepaid sales tax on cigarettes. This sales tax or VAT purposes; and certificate may not be used to purchase motor fuel or diesel motor fuel. — is purchasing items for resale that will be either: Misuse of this certificate 1) delivered by the seller to the purchaser's customer or to an Misuse of this exemption certificate may subject you to serious civil and unaffiliated fulfillment service provider located in New York criminal sanctions in addition to the payment of any tax and interest State, or due. These include: 2) delivered to the purchaser in New York State, but resold from • A penalty equal to 100% of the tax due; a business located outside the state. • A $50 penalty for each fraudulent exemption certificate issued; Note: For purposes of 1) above, delivery by the seller includes • Criminal felony prosecution, punishable by a substantial fine and a delivery in the seller's own vehicle or by common carrier. possible jail sentence; and regardless of who arranges for the transportation. • Revocation of your Certificate of Authority, if you are required to Non-New York State purchasers: registration be registered as a vendor. See TSB-M-09(17)S, Amendments that Encourage Compliance with the Tax Law and Enhance the Tax requirements Department's Enforcement Ability, for more information. If, among other things, a purchaser has any place of business or salespeople in New York State, or owns or leases tangible personal property in the State, the purchaser is required to be registered for New To the Seller York State sales tax. If you are a New York State registered vendor and accept an exemption document, you will be protected from liability for the tax, if the certificate A business must register (unless the business can rebut the statutory is valid. presumption as described in TSB-M-08(3.1)S, Additional Information on How Sellers May Rebut the New Presumption Applicable to The certificate will be considered valid if it was: the Definition of Sales Tax Vendor as Described in TSB-M-08(3)S) • accepted in good faith; for New York State sales tax if the business enters into agreements • in the vendor's possession within 90 days of the transaction: and with residents of New York State under which the residents receive consideration for referring potential customers to the • properly completed (all required entries were made). business by links on a Web site or otherwise, and the value A certificate is accepted in good faith when a seller has no knowledge of the sales in New York State made by the business through that the exemption certificate is false or is fraudulently given, and those agreements totals more than $10,000 in the preceding reasonable ordinary due care is exercised in the acceptance of the four sales tax quarters. See TSB-M-08(3)S, New Presumption Applicable certificate. to Definition of Sales Tax Vendor, and TSB-M-08(3.1)S. You must get a properly completed exemption certificate from your Also see TSB-M-09(3)S, Definition of a Sales Tax Vendor is Expanded customer no later than 90 days after the delivery of the property or the to Include Out-of-State Sellers with Related Businesses in New performance of the service. When you receive a certificate atter the York State, for information on sales tax registration requirements for 90 days, both you and the purchaser are subject to the burden of proving out-of-state businesses with New York affiliates. that the sale was exempt, and additional documentation may be required. A purchaser who is not otherwise required to be registered for New York An exemption certificate received on time that is not properly completed State sales tax may purchase fulfillment services from an unaffiliated will be considered satisfactory if the deficiency is corrected within a New York fulfillment service provider and have its tangible personal reasonable period. You must also maintain a method of associating an property located on the premises of the provider without being required invoice (or other source document) for an exempt sale made to a customer to be registered for sales tax in New York State. with the exemption certificate you have on file from that customer. If you need help determining if you are required to register because you engage Invalid exemption certificates — Sales transactions which are not in activity in New York State, contact the department (see Need help?). supported by valid exemption certificates are deemed to be taxable retail sales. The burden of proof that the tax was not required to be If you meet the registration requirements and engage in business collected is upon the seller. activities in New York State without possessing a valid Certificate of Authority, you will be subject to penalty of up to $500 for the first day on Retention of exemption certificates -You must keep this certificate which you make a sale or purchase, and up to $200 for each additional for at least three years atter the due date of the return to which it day, up to a maximum of 510.000. relates, or the date the return was filed, if later. Limitations on use Need help? Contractors cannot use this certificate. They must either: • issue Form ST-120.1, Contractor Exempt Purchase Certificate, if the tangible personal property being purchased qualifies for exemption 1O Internet access: www.nystax.gov (for information, forms. and publications) as specified by the certificate, or • issue Form AU-297, Direct Payment Permit, or UN Sales Fax-on-demand forms: Tax Information Center. 1 800 748-3676 (518) 485-2889 • pay sales tax at the time of purchase. In-state callers without free long distance: 1 800 698-2909 To order forms and publications: (518) 457-5431 Contractors are entitled to a refund or credit of sales tax paid on In-state callers without free long distance: 1 800 462.8100 materials used in repairing, servicing or maintaining real property, if the materials are transferred to the purchaser of the taxable service A Text Telephone (TTY) Hotline in conjunction with the performance of the service. For additional avre (for persons with hearing and information, see Publication 862, Sales and Use Tax Classifications of speech disabilities using a TTY): 1 800 634.2110 Capital Improvements and Repairs to Real Property. EFTA00317323