Motor Vehicle Rental Tax Exemption Certificate
THIS EXEMPTION CERTIFICATE IS NOT VALID FOR TAX-FREE REGISTRATION.
THIS EXEMPTION CERTIFICATE MUST BE ATTACHED TO THE RENTAL CONTRACT.
Make of Vehicle Motor or Vehicle Identification Number
Model Year Body Style License Number
The undersigned claims exemption from payment of motor vehicle gross rental receipts tax under the Taxes of Sale, Rental and Use of
Motor Vehicle Law (TEX.TAX CODE ANN.ch.152), on the rental of the above described motor vehicle from:
Name of Rental Company
City, State, ZIP Code
Renter Claims this exemption for the following reason:
A Public Agency - A public agency is exempt from motor vehicle rental tax. A public agency includes the federal government; a department,
commission, board, office, institution or other agency of the state of Texas or of a county, city, town, school district, hospital district, water district or
other special district, authority or political subdivision created by or pursuant to the constitution or the statutes of this state. An organization may
receive federal or state funds and still not be entitled to an exemption from motor vehicle rental tax.
I declare that the information contained in this document and any attachments is true and correct to the best of my knowledge and belief.
Name of tax-exempt person or organization
(Street & Number)
City, State, ZIP Code:
NOTE: THIS FORM MAY BE REPRODUCED, BUT MUST BE SUBSTANTIALLY IN THE FORM SET OUT ABOVE. DO NOT SEND THE
COMPLETED EXEMPTION CERTIFICATE TO THE COMPTROLLER OF PUBLIC ACCOUNTS.
SELECT THE APPROPRIATE AGENCY FROM THE DROP