AFFIDAVIT FOR EXEMPTION OF A WORK
OF ART TO BE DONATED OR LOANED TO
AN EDUCATIONAL INSTITUTION
I, the undersigned, claim exemption under Section 212.08(7)(cc), F.S., from Florida sales and use tax on the work(s) of art, described below, purchased in Florida or imported into Florida exclusively for the purpose of being (check one)
___ donated to _________________, an educational institution as defined in Section 212.08(7)(cc)8., F.S.
___ loaned to ___________________, an educational institution as defined in Section 212.08(7)(cc)8., F.S.
If a donation, title to the work(s) of art is being or will be transferred to the educational institution, and at the time of transfer, I will submit to the Department an affidavit evidencing the transfer of title.
If a loan:
* The work(s) of art will be loaned to the educational institution or placed in storage in preparation for loan within 90 days after it was purchased in or imported into Florida. If placed in storage, it will not be displayed until such time as it is delivered to an educational institution.
* I have entered into a written agreement with the educational institution providing for a loan of the work(s) of art and making the work(s) of art available to the educational institution for display for a term of not less than 10 years, or will do so before the transfer of possession of the work(s) of art to the educational institution occurs. A copy of the loan agreement will be provided to the Florida Department of Revenue at the time that the agreement is executed.
* I understand that the exemption provided in Section 212.08(7)(cc), F.S., is allowed during the period of time in which the work(s) of art is in the possession of the educational institution.
* I understand that tax based upon the sales price as stated below will become due and payable at the time the provisions of Section 212.08(7)(cc), F.S., are no longer met, and the statute of limitations as provided in Section 95.091, F.S., will begin to run at that time. However, if I donate the work(s) of art to an educational institution after the loan ceases, no tax be due.
* A signed copy of this affidavit is being forwarded to the Florida Department of Revenue at the time the original is given to the seller of the work(s) of art.
Name of Purchaser __________________________________________________________________________________________
Purchaser's Permanent Address _________________________________________________________________________ (Street)
____________________________________________ (City) __________________________________________________ (State)
Name of Seller _____________________________________________________________________________________________
Seller's Permanent Address ____________________________________________________________________________ (Street)
____________________________________________ (City) __________________________________________________ (State)
DESCRIPTION OF WORK(S) OF ART _________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Sales Price _____________________ Date of Sale _________________________________________________________________
Name of Educational Institution _______________________________________________________________________________
Institution's Address __________________________________________________________________________________ (Street)
_______________________________________________ (City) _______________________________________________ (State)
Educational Institution's Florida Consumer's Certificate of Exemption Number ________________________________________
Under penalties of perjury, I declare that I have read the foregoing affidavit, and the facts stated in it are true to the best of my knowledge and belief.
_____________________________________
(Signature of Purchaser or Authorized Agent)
Original to be retained by the seller and made part of the seller's records.
1st Copy to be submitted to the Florida Department of Revenue, General Tax Administration MS 1-2800, P.O. Box 6417, Tallahassee, Florida 32314-6417.
2nd copy: Purchaser's copy.
AFFIDAVIT TRANSFERRING TITLE OF A WORK
OF ART TO AN EDUCATIONAL INSTITUTION
I, the undersigned, claim exemption under Section 212.08(7)(cc), F.S., from Florida sales and use tax on the work(s) of art, described below, purchased in Florida or imported into Florida for the exclusive purpose of being donated to ___________________________, an educational institution as defined in Section 212.08(7)(cc)8., F.S. A copy of the affidavit provided to the vendor of the work(s) of art at the time of purchase is attached.
Title to the work(s) of art has been, or is being, transferred to the educational institution, effective ________________ (date; no later than the date of this affidavit). Copies of any other documents evidencing the transfer of title to the educational institution are attached to this affidavit and are being forwarded to the Florida Department of Revenue with the affidavit.
A signed copy of this affidavit is being forwarded to the Florida Department of Revenue at the time the original is given to the educational institution.
Name of Transferor __________________________________________________________________________________________
Transferor's Permanent Address _________________________________________________________________________ (Street)
________________________________________________ (City) _______________________________________________(State)
DESCRIPTION OF WORK(S) OF ART _________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Date Purchased _____________________________________________________________________________________________
Name and Address of Person from Whom Purchased ________________________________________________________________
___________________________________________________________________________________________________________
Name of Educational Institution ________________________________________________________________________________
Institution's Address ___________________________________________________________________________________(Street)
___________________________________________________________________ (City) ____________________________(State)
Educational Institution's Florida Consumer's Certificate of Exemption Number __________________________________________
Under penalties of perjury, I declare that I have read the foregoing affidavit, including all attachments, and the facts stated in it are true to the best of my knowledge and belief.
_________________________________
(Signature of Transferor)
Original to be retained by the educational institution and made part of that institution's records.
1st Copy to be submitted to the Florida Department of Revenue, General Tax Administration MS 1-2800, P.O. Box 6417, Tallahassee, Florida 32314-6417.
2nd copy: Donor's copy.
Florida Department of Revenue
General Tax Administration MS 1-2800
P.O. Box 6417
Tallahassee, Florida 32314-6417
CERTIFICATION FOR RESOURCE RECOVERY EQUIPMENT OR MACHINERY
This is to certify that the resource recovery equipment or machinery, as described below, purchased on or after ________ (DATE) from ___________ (VENDOR) is purchased for use as qualifying resource recovery equipment or machinery, pursuant to Section 212.08(7)(q), Florida Statutes, and will be used exclusively by or on behalf of a county or municipality.
Resource Recovery Equipment or Machinery:
___________________________________________
___________________________________________
___________________________________________
I understand that if I use the equipment or machinery for any other purpose, I must pay tax on the purchase price of the taxable property directly to the Department of Revenue.
I understand that it is a criminal offense to fraudulently issue this certificate to evade the payment of sales tax and that I will be liable for payment of the sales tax plus a penalty of 200% of the tax and may be subject to conviction of a third degree felony.
Purchaser's Name ____________________________________________________
Purchaser's Address __________________________________________________
Name and Title of Authorized Representative ______________________________
By ________________________________________________________________
(Signature of Purchaser)
________________________
(Date)
______________(COMPANY), its undersigned officer who is duly authorized, hereby certifies to __________(CONTRACTOR OR SUBCONTRACTOR) it has paid sales tax to the Florida Department of Revenue totaling the sum of $________. The taxes were collected by (COMPANY) upon the sales of equipment or machinery as evidenced by the attached invoice(s).
The company further certifies the sales tax for the attached invoice(s) was paid to the Department of Revenue in the month following the date of sale under sales tax certificate number ________________.
__________________________________________________
SIGNATURE OF AUTHORIZED OFFICER OF COMPANY
BY: ________________________________
TITLE: _____________________________
DATE: _____________________________
Fla. Admin. Code Ann. R. 12A-1.001
Rulemaking Authority 212.08(7)(h)2., (cc)3., 212.18(2), 213.06(1) FS. Law Implemented 212.05, 212.08(7)(f), (h), (q), (v), (x), (cc), 212.085, 213.255(2), (3), 213.37, 215.26 FS.
New 1-7-68, Amended 1-7-70, 1-17-71, 6-16-72, 7-19-72, 12-11-74, 5-27-75, 10-21-75, 9-7-78, 9-28-78, 10-18-78, 9-16-79, 2-3-80, 6-3-80, 7-7-80, 10-29-81, 12-3-81, 12-31-81, 7-20-82, 11-15-82, 10-13-83, 4-12-84, Formerly 12A-1.01, Amended 7-9-86, 1-2-89, 12-1-89, 7-7-92, 9-14-93, 5-18-94, 12-13-94, 3-20-96, 4-2-00, 6-28-00, 6-19-01, 10-2-01(1), (2), 10-2-01(2)-(7), 10-2-01(3)-(7), 8-1-02, 6-4-08, 12-31-20, 1-1-24.