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The form requires the exempt organization number, purchaser and address details, and a certification by an authorized officer that the organization holds a valid ST-119 certificate and remains exempt for covered transactions. It also includes usage restrictions (e.g., not for motor fuel/diesel) and provides instructions for filing with the vendor as an agent for the Tax Department, with penalties for intentional evasion.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/exempt-purchase-certificate-exempt-organization/301220/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/exempt-purchase-certificate-exempt-organization/301220.png","ImageObject",442,249,{"name":88,"@type":89},"Ben Jamin","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-24","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Who can use the Exempt Purchase Certificate in New York State?","Question",{"text":108,"@type":109},"The exempt organization must be the direct purchaser and payer of record. Representatives of governmental agencies or diplomatic missions may not use this form.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What are the key restrictions on using this certificate?",{"text":113,"@type":109},"You may not use this form to purchase motor fuel or diesel motor fuel exempt from tax. Carefully read the instructions and other information on the back of the document for additional requirements.",{"name":115,"@type":106,"acceptedAnswer":116},"What does the authorized officer certify?",{"text":117,"@type":109},"The officer certifies that the organization holds a valid ST-119 Exempt Organization Certificate and is exempt from New York State and local sales and use taxes on its purchases. The officer also confirms the statements are true, complete, and correct and acknowledges penalties for evasion.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},301220,1789780196,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":125,"read_time":4},2336478466772,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","New York State Department of Taxation and FinanceNew York State and Local Sales and Use Tax  \n# Exempt OrganizationExempt Purchase Certificate\n\n\n| Your exempt organization number  \u003Cbr>Single purchase certificate  \u003Cbr>is not your federal employer  \u003Cbr>identiflcatlon number (see instructions).  \u003Cbr>Blanket certificate   |  | Exempt organization number (6-digli number  \u003Cbr>issued by the New York State Tax Dopartmen)  \u003Cbr>0  \u003Cbr>4  \u003Cbr>0  \u003Cbr>1  \u003Cbr>3  \u003Cbr>EX·  \u003Cbr>8   |\n| --- | --- | --- |\n| Name of seler   | Name of exempt organization/purchaser  \u003Cbr>Alfred University   |  |\n| Streat address   | Street address  \u003Cbr>One Saxon Drive   |  |\n| City  \u003Cbr>ZIP code  \u003Cbr>State   | ZIP code  \u003Cbr>State  \u003Cbr>Cty  \u003Cbr>Alfred  \u003Cbr>NY  \u003Cbr>14802   |  |\n\nThe exempt organization must be the direct purchaser and payer of record.  \nYou may not use this form to purchase motor fuel or diesel motor fuel exempt from tax.Representatives of governmental agencies or diplomatic missions may not use this form.Carefully read the instructions and other information on the back of this document.  \nI certify that the organization named above holds a valid Form ST-119,Exempt OrganizationCertificate,and is exempt from New York State and local sales and use taxes on its purchases.  \nCertification:I certify that the above statements are true,complete,and correct,and thatno material information has been omitted.I make these statements and issue this exemptioncertificate with the knowledge that this document provides evidence that state and local sales oruse taxes do not apply to a transaction or transactions for which I tendered this document andthat wilfully issuing this document with the intent to evade any such tax may constitute a felonyor other crime under New York State Law,punishable by a substantial fine and a possible jailsentence.I understand that this document is required to be filed with,and delivered to the vendoras agent for the Tax Department for the purposes of section1838 of the Tax Law and is deemeda document required to be filed with the Tax Department for the purpose of prosecution ofoffenses.I also understand that the Tax Department is authorized to investigate the validity of taxexclusions or exemptions claimed and the accuracy of any information entered on this document.  \n\n| Print or type name of officer of organization  \u003Cbr>Amanda Azzi   | Title  \u003Cbr>Controller   |\n| --- | --- |\n| Signatule of officer of organizagon  \u003Cbr>han a  \u003Cbr>3   | Date issued  \u003Cbr> 07/01/2024   |\n\n\n| Need help?  \u003Cbr>Telephone assistance  \u003Cbr>(518)485-2889  \u003Cbr>Sales Tax Information Center:  \u003Cbr>(518)457-5431  \u003Cbr>To order forms and publications:   |\n| --- |\n| Persons with disabilities:In compliance with the  \u003Cbr>Text Telephone(TTY)Hotline(for persons with  \u003Cbr>Americans with Disabilities Act,we will ensure that our  \u003Cbr>heaning and speech disabilities using a TTY):If you  \u003Cbr>have access to a TTY,contact us at(518)485-5082.  \u003Cbr>lobbies,offices,meeting rooms,and other facilities  \u003Cbr>If you do not own a TTY,check with independent  \u003Cbr>are accessible to persons with disabilities.If you have  \u003Cbr>living centers or community action programs to find  \u003Cbr>questions about special accommodations for persans  \u003Cbr>with disabilities,call the information center.  \u003Cbr>out where machines are available for public use.   |\n\n\n| Visit our Web site at www.tax.ny.gov  \u003Cbr>·get infomation and manage your taxes online  \u003Cbr>·check for new online services and features   |\n| --- |","cbCaidGLSA3Z00zr","https://ap.wps.com/l/cbCaidGLSA3Z00zr","pdf",114396,"English","# Exempt Organization\n## Exempt Purchase Certificate\n## Organization and Purchase Details\n## Certification and Legal Statement\n## Officer Information and Signature\n## Assistance and Resources","[{\"question\":\"Who can use the Exempt Purchase Certificate in New York State?\",\"answer\":\"The exempt organization must be the direct purchaser and payer of record. Representatives of governmental agencies or diplomatic missions may not use this form.\"},{\"question\":\"What are the key restrictions on using this certificate?\",\"answer\":\"You may not use this form to purchase motor fuel or diesel motor fuel exempt from tax. Carefully read the instructions and other information on the back of the document for additional requirements.\"},{\"question\":\"What does the authorized officer certify?\",\"answer\":\"The officer certifies that the organization holds a valid ST-119 Exempt Organization Certificate and is exempt from New York State and local sales and use taxes on its purchases. The officer also confirms the statements are true, complete, and correct and acknowledges penalties for evasion.\"}]","Exempt Purchase Certificate - Exempt Organization | PDF"]