KANSAS DEPARTMENT OF REVENUE, DIVISION OF TAXATION TAX-EXEMPT ENTITY EXEMPTION CERTIFICATE ‘The Kansas Department of Revenue certifies that the entity to which it hs issued this numbered eeriicate i exempt from paying Kansas sles and/or compensating use tx pursuant te: KS.A. 19-2606(), which exemprs all sales of tangible personal property and services, including the renting or leasing of tangible personal property, purchased directly by the State of Kansas, apolitical subdivision threo (othe than a school oF educational insition), or purchased by a puble or private nonprodit hospital or public hosptl authority or nonprot blood, tissue or organ bank and used exclusively for sae, politcal subdivision, hospital or public hospital authority or nonprofit blood, issue or organ bank purposes. EXCEPTION: When such state, hospital or public hospital authority is engaged or proposes to engage in any business specifically uxable, or when such politcal subeivision is engaged in the business of fumishing gs, electricity or heat co others, purchases of propery or services used or proposed tobe used in such businesses are axabl, ‘By furnishing tis certificate, the undersigned tax-exempt entity cetfes that its iret purchase of ‘Bein Sra oon ped Seller's Name: Adress is exempt fiom the siate and Toeal sales or compensiting use tax. The undersigned tax-exempt entity further understands and agroes that if the tangible personal propety andr service are used ater than as saad, or for any other purpose that i not exempt from the tax, the undersized tax ‘exempt entity becomes lable forthe state and local sales or use tax’ The unlawful oF unauthorized use of this certieate is expressly probibited, punishable by fine and/or imprisonment AX-EXEMPT ENTITY INFORMATION Name: State of Kansas Kansas Exemption Nun TR croc oe 2100 West 36th Avenue KAWSAS Expiration Date: Kansas City KS 66160, ML. sonisinn Leak prversticse 49Y-£V [279 « rimirime Michye | Keeble. Das: _124 USE OF THIS EXEMPTION CERTIFICATE | INFORMATION FOR RETAILERS ‘What purchases are exempt: The direct purchase, rental or lease of * You must keep a copy of this completed certificate with your es eel ee eae ela |* pegs ees aay teres ect ot rae ioe reer rae uses eae ree a Soran sees eer fe. pa «ee Mater fumised by or tough a contactor or mati andor Ata ots may Een epminionm » labor of subcontractor for eal propery projects are taxable ‘ype forthe same exempt purpose, +All purchases must be a direct purchase — billed directly to the Project Exemption Certificate (PEC) applicability: This ony is sireed ties lean es re entity, and/or paid forwith entity funds (check or credit cad). authorized 1 receive or issue a Projet Exemption Certificate (PEC) in otder tha the materials purchased or furmshed by @ conricior or ‘+ Sales to employees of agents of the exempt eniy using their the materials and labor of 2 subcontractor on areal propety project personal funds are taxable, even when the employes/ageat is may be purchased without x later reimbursed the expense by the exempt enti. ‘+The items purchased must be used exclusively by the exempt ent for the siated exempt purpose(s). | Pros Gias