TC-721G
Rev. 5/18
Utah State Tax Commission
Exemption Certificate for Governments & Schools
(Sales, Use, Tourism and Motor Vehicle Rental Tax)
Name of institution claiming exemption (purchaser) Telephone Number
Street Address City State ZIP Code
Authorized Signature Name (please print) Title
Name of Seller or Supplier:
Date
The person signing this certificate MUST check the applicable box showing the basis for which the exemption is being claimed.
Email questions to taxmaster@utah.gov. You may also write or visit the Tax Commission at 210 N 1950 W, Salt Lake City, UT 84134, or call
801-297-2200 or toll free 1-800-662-4335.
DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION
Keep it with your records in case of an audit.
❑
UNITED STATES GOVERNMENT OR NATIVE AMERICAN TRIBE
I certify the tangible personal property or services purchased are to
be paid directly with funds from the entity noted on this form and will
be used in the exercise of essential governmental or tribal functions.
NOTE: Includes sales of tangible personal property to federally
chartered credit unions. “Directly” does not include per diem, entity
advances, or government reimbursements for employee credit card
purchases.
❑
CONSTRUCTION MATERIALS PURCHASED FOR SCHOOLS
OR PUBLIC TRANSIT DISTRICTS
I certify the construction materials purchased are on behalf of a
public elementary or secondary school, or public transit district. I
further certify the purchased construction materials will be installed
or converted into real property owned by the school or public transit
district.
Name of school or public transit district:
__________________
_______
_______
Name of project:
_______________________
❑
FOREIGN DIPLOMAT
I certify the purchases are authorized by a diplomatic tax exemption
card issued by the United States.
Foreign diplomat number:
___________________
Construction Materials Purchased for Airports
I certify the construction materials are purchased by, on behalf of, or
for the benefit of Salt Lake International Airport, or a new airport
owned or operated by a city in Davis, Utah, Washington or Weber
County. I further certify the construction materials will be installed or
converted into real property owned by and located at the airport.
❑
UTAH LOCAL GOVERNMENTS AND PUBLIC ELEMENTARY
AND SECONDARY SCHOOLS
Sales Tax License No.
________________
I certify the tangible personal property or services purchased are to
be paid directly with funds from the entity noted on this form and will
be used in the exercise of that entity’s essential functions. For
construction materials, if the purchaser is a Utah local government,
these construction materials will be installed or converted into real
property by employees of this government entity.
CAUTION: This exemption does not apply to government or educa-
tional entities of other states and is not valid for lodging-related
purchases.
❑
UTAH STATE GOVERNMENT
Sales Tax License No.
________________
I certify the tangible personal property or services purchased are to
be paid directly with funds from the entity noted on this form and will
be used in the exercise of its essential functions. For construction
materials, they will be installed or converted into real property by
employees of this government entity.
CAUTION: This exemption does not apply to other states and is not
valid for lodging-related purchases.
❑
HEBER VALLEY HISTORIC RAILROAD
I certify these purchases and sales are by the Heber Valley Historic
Railroad Authority or its operators and are related to the operation
and maintenance of the Heber Valley Historic Railroad.
To be valid this certificate must be filled in completely, including a check mark in the proper box.
A sales tax license number is required only where indicated.
Please sign, date and, if applicable, include your license or exemption number.
NOTE TO SELLER: Keep this certificate on file since it must be available for audit review.
NOTE TO PURCHASER: Keep a copy of this certificate for your records. You must notify the seller of cancellation, modification, or limitation of the
exemption you have claimed.
If you need an accommodation under the Americans with Disabilities Act, email taxada@utah.gov, or call 801-297-3811 or TDD 801-297-2020.
Please allow three working days for a response.
DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION
11843640-002-STC
Utah Valley University
801-863-8000
800 W University Pkwy
Orem
UT 84058
Ryan Lindstrom
Director of Procurement Svcs
