Connecticut Free Printable General Sales Tax Exemption Certificate for 2021 Connecticut General Sales Tax Exemption Certificate

A sales tax exemption certificate can be used by businesses (or in some cases, individuals) who are making purchases that are exempt from the Connecticut sales tax. You can download a PDF of the Connecticut General Sales Tax Exemption Certificate (Form CERT-100-B) on this page. For other Connecticut sales tax exemption certificates, go here.

If you are qualifying for general sales tax exemption, this is the form you should use.

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General Sales Tax Exemption Certificate
Document Title:

Name of Purchaser Address CT Tax Registration Number (If none, explain) Federal Employer ID # Name of Seller Address CT Tax Registration Number (If none, explain) Federal Employer ID # Check One Box Blanket Certificate Certificate for One Purchase Only Check Appropriate Box and Provide Written Description of Each Item Purchased Materials Tools Fuel Description Declaration by Purchaser The item(s) described on the front are materials, tools, or fuel as defined in Conn. Agencies Regs. 12-412(18)-1 to be used directly in: An industrial manufacturing plant in the actual fabrication of a product to be sold; Furnishing power to an industrial manufacturing plant; or Furnishing gas, water, steam, or electricity when delivered to consumers through mains, lines, pipes, or bottles. In accordance with Conn. Agencies Regs. 12-412(18)-1, the purchase of these item(s) is exempt from sales and use taxes. Declaration: I declare under penalty of law that I have examined this return or document (including any accompanying schedules and statements) and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to DRS is a fine of not more than $5,000, or imprisonment for not more than five years, or both. Name of Purchasing Company By: Authorized Signature of Owner or Officer CERT-100 (Back) (Rev. 01/05) Title Date

Extracted from PDF file ct-cert-100-b.pdf, last modified January 2005

More about the Connecticut General Sales Tax Exemption Certificate

Other Connecticut Sales Tax Certificates:

SalesTaxHandbook has an additional five Connecticut sales tax certificates that you may need.

Certificate Code Certificate Name
CERT-100 Resale Exemption Certificate
CERT-101 Machinery, Component Parts, and Replacement and Repair Parts of Machinery Used Directly in a Manufacturing Process
CERT-119 Purchases of Tangible Personal Property and Services by Qualifying Exempt Organizations
CERT-134 Exempt Purchases by Qualifying Governmental Agencies
CERT-141 Contractor's Exempt Purchase Certificate

Download all CT sales tax exemption forms View all 5 Connecticut Exemption Certificates

SalesTaxHandbook Disclaimer:

While we do our best to keep our list of Connecticut Sales Tax Exemption Certificates up to date and complete, we cannot be held liable for errors or omissions. Is the CERT-100-B form on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By SalesTaxHandbook **