Missouri Department of Revenue Exemption Certificate
This document is the Missouri Department of Revenue Exemption Certificate for Tire and Lead-Acid Battery Fees. It is intended for purchasers to provide necessary exemption details to sellers. Ensure that all information is filled accurately to comply with state regulations.
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How do I fill this out?
To properly fill out this exemption certificate, begin by entering the names and addresses of both the purchaser and seller. Next, specify the type of business and indicate the applicable exemption categories. Finally, ensure that the form is signed and dated by the authorized individual.

How to fill out the Missouri Department of Revenue Exemption Certificate?
1
Enter purchaser and seller information accurately.
2
Select the type of business and input the tax identification number.
3
Indicate the exemption type such as resale or agricultural operations.
4
Provide signatures of both the purchaser and seller.
5
Submit the completed form to the seller.
Who needs the Missouri Department of Revenue Exemption Certificate?
1
Tire retailers who need to claim exemption on tire purchases for resale.
2
Lead-acid battery retailers looking to avoid taxable fees under certain conditions.
3
Agricultural producers seeking exemptions for necessary equipment.
4
Non-profit organizations intending to purchase without tax liability.
5
Motor vehicle dealers needing to manage tax impacts on their inventory.
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What are the instructions for submitting this form?
After filling out the Missouri exemption certificate, submit it to the seller to validate your tax-exempt status. You can send it via email to salestaxexemptions@dor.mo.gov or fax it to (573) 751-2836. For physical submissions, mail it to Taxation Division, P.O. Box 358, Jefferson City, MO 65105-0358. Make sure to keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
The Missouri exemption certificate must be kept up to date, with sellers advised to renew every five years. Important submission periods align with fiscal tax deadlines. Ensure compliance with any changes by checking with the Missouri Department of Revenue each year.

What is the purpose of this form?
The purpose of this form is to facilitate tax-exempt purchases for qualifying businesses. By providing this certificate, purchasers can avoid unnecessary tax fees for tires and lead-acid batteries. It helps sellers to ensure they are in compliance with state regulations by documenting exemption claims appropriately.

Tell me about this form and its components and fields line-by-line.

- 1. Purchaser's Name: The full legal name of the purchaser.
- 2. Seller's Name: The official name of the seller.
- 3. Doing Business As Name (DBA): An optional field for any trading name.
- 4. Address: The physical address of the purchaser.
- 5. City: The city where the purchaser or seller is located.
- 6. State: The state of the purchaser or seller.
- 7. Zip Code: Postal code for the address provided.
- 8. Purchaser's Type of Business: Classification of the purchaser's business.
- 9. Missouri Tax Identification Number: The identifier for state tax purposes.
- 10. Exemption from Tire Fee: Checkboxes for claiming exemptions.
- 11. Exemption from Lead-Acid Battery Fee: Checkboxes for claiming exemptions.
- 12. Signature: Signature of the purchaser confirming the information.
- 13. Printed Name: A legible printed version of the signer's name.
- 14. Title: The title of the person signing the form.
- 15. Date: The date when the form is signed.
What happens if I fail to submit this form?
Failing to submit this form can result in the seller charging you tax on your purchase. It may also lead to compliance issues with the state. Be proactive in ensuring this document is properly filled and submitted.
- Potential Tax Liability: You may be liable for taxes if the exemption certificate is not presented.
- Compliance Issues: Non-compliance with tax regulations can lead to penalties.
- Seller's Retaliation: Sellers may refuse to honor tax-exempt status without this certificate.
How do I know when to use this form?

- 1. Resale Purchases: For tire and battery retailers buying inventory.
- 2. Agricultural Uses: Farmers purchasing equipment exempt from fees.
- 3. Non-Profit Exemptions: Assisting non-profits during tax-exempt purchases.
- 4. Tax-Free Sales: Motor vehicle dealers seeking exemption documentation.
- 5. Annual Updates: For businesses regularly updating their exemption status.
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