Post Office Box 151, Fort Road, Toppenish, WA 98948 (509) 865-5121
of the Yakama Nation
Established by the
Treaty of June 9, 1855
Confederated Tribes and Bands
DATE
CONTRACTOR NAME AND ADDRESS
RE: Tax Exemption Restoration Project
Attached please find an executed Treaty Fishery Tax Exemption Certificate concerning the
Yakama
Nation's contracting with CONTRACTOR NAME for construction of salmon habitat which it undertakes
as co-manager
of
fisheries resources pursuant to the Treaty with the Yakama of 1855 (12 Stat.951).
The certificate is being provided to CONTRACTOR NAME to assist it in complying with seller record
keeping
requirements
in WAC 458-20-192(4). By executing the certificate, the Yakama Nation is
certifying only that it is a federally recognized Indian tribe and that the contracted salmon habitat
restoration work is part of its treaty
fishery
management program. The Yakama Nation does not
waive sovereign immunity from suit, nor
by
executing the certificate, acknowledge or dispute the
jurisdiction of the state of Washington over any governmental activities of the Yakama Nation or the
applicability or non-applicability of any statutes or rules
of the
state of Washington to the exercise
of tribal
government operations or rights reserved to
the
Yakama Nation or its members by the
Treaty of 1855. CONTRACTOR NAME is advised to keep this
letter
on record with the attached
certificate.
Sincerely,
Delano Saluskin, Chairman
Yakama Tribal Council
REV 27 0036 (11/20/19) Page 1
Tax exemption for treaty fisheries
Fill out this form if you are a tribal member, tribe, or intertribal organization requesting an exemption of sales tax for
purchases of treaty shery items.
This certificate is for:
Single use
You need to show this certicate each time you buy an exempt item.
Blanket certificate
You can use this certicate anytime, as long as you and the seller/marketplace facilitator have a recurring business
relationship. A recurring business relationship means you have at least one sale transaction within 12 months (RCW
82.08.050(7)(c)).
1 Sellers/Marketplace facilitators name: Date:
Address:
2 Check one of the following. The buyer is requesting an exemption for:
Boat, boat trailer
Gear, net
Boat/engine repair
Laboratory equipment
Smoking equipment
Operating supplies
Motor
Specialized clothing
Hatchery equipment
Processing equipment
Other (explain)
Provide one of the following:
Federally recognized tribe of buyer:
and treaty Indian shing identication card number: or
Name of intertribal organization:
Form
Salmon Habitat Restoration
Confederated Tribes and Bands of the Yakama Nation
REV 27 0049 (11/20/19) Page 2
3 Certication:
By signing this certicate, you are agreeing that you are fully aware of the legal penalties for fraud and tax
evasion.
Buyer’s name: Phone:
Signature: Date:
Address:
Name of tribe or organization:
More information
This exemption is only for:
Businesses solely owned and operated by Indians/tribes with treaty shing rights, and
Intertribal organizations for the protection of Indian treaty sheries.
Treaty shery means the shing and shellsh rights kept in a:
tribes treaty
federal executive order, or
an act of Congress
This includes activities like:
harvesting
processing
tranporting
selling
management
enforcement
Questions?
Call our DOR tribal liason at 360-534-1573.
For tax assistance or to request this document in an alternate format, please call 360-705-6705. Teletype
(TTY) users may use the Washington Relay Service by calling 711.
Seller/Marketplace facilitator must retain the original of this certicate for their records.
Seller/Marketplace facilitator must document buyer’s name, address, item(s) purchased and dollar
amount of purchase.
Do not send a copy of this certicate to the Department of Revenue.
Delano Saluskin, Tribal Chairman
PO Box 151, Toppenish, WA 98948
Confederated Tribes and Bands of the Yakama Nation