Form ST-10
COMMONWEALTH OF VIRGINIA
SALES AND USE TAX CERTIFICATE OF EXEMPTION
For use by a Virginia dealer who purchases tangible personal property for resale,
or for lease or rental, or who purchases materials or containers
to package tangible personal property for sale
This Certicate of Exemption MAY NOT BE USED TO PURCHASE CIGARETTES FOR RESALE after January 1, 2018.
To: ______________________________________________________________________ Date: _____________________________
Name of Supplier
___________________________________________________________________________________________________________
Number and Street or Rural Route City, Town or Post Ofce State Zip Code
The Virginia Retail Sales and Use Tax Act provides that the Virginia Sales and use tax shall not apply to tangible personal
property purchased for resale; that such tax shall not apply to tangible personal property purchased for future use by a
person for taxable lease or rental as an established business or part of an established business, or incidental or germane
to such business, including a simultaneous purchase and taxable leaseback. The Act provides also that such tax shall not
apply to packaging materials such as containers, labels, sacks, cans, boxes, drums or bags if the materials are marketed
with a product being sold and become the property of the purchaser.
This Certicate of Exemption may not be used by a using or consuming construction contractor as dened in the Regulations.
The undersigned dealer hereby certies that all tangible personal property purchased from the above named supplier on
and after this date will be purchased for the purpose indicated below, unless otherwise specied on each order, and that this
Certicate shall remain in effect until revoked in writing by the Department of Taxation. Check proper box below.
c 1. Tangible personal property for RESALE only. Do not use to purchase cigarettes for resale.
c 2. Tangible personal property for future use by a person for taxable LEASE OR RENTAL as an established business,
or part of
an established business, or incidental or germane to such business, or a simultaneous purchase and
taxable leaseback. This sales and use tax exemption is not applicable to long-term leases of motor vehicles
when lease payments charged to customers are not subject to the motor vehicle sales and use tax.
c 3. Packaging materials such as containers, labels, sacks, cans, boxes, drums or bags that are marketed with a
product being sold and become property of the purchaser.
Virginia
Name of Dealer ________________________________________ Account No. ________________________________
Trading as _______________________________________________________________________________________
Address ________________________________________________________________________________________
Number and Street or Rural Route City, Town or Post Ofce State Zip Code
Kind of business engaged in by dealer __________________________________________________________________
I certify that I am authorized to sign this Certicate of Exemption and that, to the best of my knowledge and belief, it is true
and correct, made in good faith, pursuant to the Virginia Retail Sales and Use Tax Act.
By ____________________________________________________ _______________________________________
Signature Title
If the dealer is a corporation, an ofcer of the corporation or other person authorized to sign on behalf of the corporation must
sign; if a partnership, one partner must sign; if an unincorporated association, a member must sign; if a sole proprietorship,
the proprietor must sign.
Information for supplier—A supplier is required to have on
le only one Certicate of Exemption properly executed by the
dealer who buys tax exempt tangible personal property for the purpose indicated hereon.
Va. Dept. of Taxation ST-10 W 6201056 Rev. 04/17
