Connecticut State Department of Revenue Services

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Exemption Certificates

Name Type Description Revised
CERT-100 Form Materials, Tools and Fuel Certificate 01/05
CERT-101 Form Machinery, Component Parts and Replacement and Repair Parts of Machinery Used Directly in a Manufacturing Process
 01/05
CERT-102 Form Certified Rehabilitation Certificate for Certified Historic Structures  02/05
CERT-103 Form Residential Condominium Association Certificate  04/16
CERT-104 Form Services Certificate for New Construction  01/05
CERT-105 Form Commercial Motor Vehicle Purchased Within Connecticut to be Used Exclusively in the Carriage of Freight in Interstate Commerce  02/19
CERT-106 Form Claim for Refund of Use Tax Paid on Motor Vehicle Purchased From Other Than a Motor Vehicle Dealer 07/23
CERT-108 Form Certificate of Partial Exemption Materials, Tools and Fuels 01/05
CERT-109 Form Certificate of Partial Exemption of Machinery, Equipment, or Repair and Replacement Parts 01/05
CERT-110 Form Aircraft Repair Services - Aircraft Repair and Replacement Parts 07/06
CERT-111 Form Certificate for Machinery, Equipment, Materials, Tools and Fuel Used by an Aircraft Manufacturer Operating an Aircraft Manufacturing Facility 01/05
CERT-112 Form Certificate for Exempt Purchases of Meals or Lodging by Exempt Entities - (FILLABLE) 01/05
CERT-113 Form Purchases of Tangible Personal Property and Services by Certain Hospitals, Nonprofit Nursing Homes, Nonprofit Rest Homes, or Nonprofit Residential Care Homes 10/15
CERT-114 Form Commercial Motor Vehicle or Motor Bus Purchased Within Connecticut to be Used in Interstate Commerce as an Interstate Motor Bus 04/21
CERT-115 Form Exempt Purchases of Gas, Electricity and Heating Fuel 01/05
CERT-116 Form Exempt Petroleum Products Certificate 10/23
CERT-117 Form Purchases of Tangible Personal Property Incorporated Into or Consumed in Air Pollution Control Facilities 01/05
CERT-119 Form & Inst Certificate for Purchases of Tangible Personal Property and Services by Qualifying Exempt Organizations  06/04
CERT-120 Form Machinery, Equipment, Tools, Materials and Supplies Used in the Production of Printed Material or in Prepress Production  01/05
CERT-121 Form Exemption for Landscaping and Horticulture Services, Window Cleaning Services and Maintenance Services Rendered to Recipients of Total Disability Benefits 07/03
CERT-122 Form Refund of Tax Paid on Purchases of Meals or Lodging by Exempt Entities 02/23
 CERT-123 Form  Blanket Certificate for Exempt Qualifying Purchases of Meals or Lodging by an Exempt Entity 01/05
 CERT-124  Form Purchases of Tangible Personal Property Incorporated Into or Consumed in Water Pollution Control Facilities 02/14
 CERT-125  Form Sales and Use Tax Exemption for a Motor Vehicle Purchased by a Nonresident of Connecticut 07/06
 CERT-126  Form Exempt Purchases of Tangible Personal Property for Low and Moderate Income Housing Facilities 01/05
 CERT-127  Form Exempt Purchases by an Enrolled Member or by the Tribal Government of the Mashantucket Pequot Tribe or Mohegan Tribe  01/05
 CERT-128 Form  Exempt Purchases by Contractors in Connection with Construction Projects in Indian Country of the Mashantucket Pequot or Mohegan Tribes 01/05
 CERT-129 Form  Exemption for Items Used Directly in the Biotechnology Industry 02/05
 CERT-130  Form Sales and Use Tax Exemption for Purchases by Water Companies 07/22
 CERT-131  Form Exemption for Projects of the Materials Innovation and Recycling Authority and Solid Waste-To-Energy Facilities 05/19
 CERT-132  Form Sales and Use Tax Exemption for Purchases Made Under the Buy Connecticut Provision  02/05
 CERT-133  Form Contractor's Exempt Purchase Certificate for a Renovation Contract with a Direct Payment Permit Holder 01/05
 CERT-134  Form Sales and Use Tax Exemption for Purchases by Qualifying Governmental Agencies  08/09
 CERT-135  Form Reduced Sales and Use Tax Rate for Motor Vehicles Purchased by Nonresident Military Personnel and their Spouses 02/05
 CERT-136  Form Purchases of Items by Eleemosynary Organizations and Schools That Will be Resold Tax-Exempt  06/04
CERT-137  Form Sales and Use Tax Certificate for Sale and Leaseback Arrangements 01/05
 CERT-138  Form Purchases for Use in Audio or Video Production or Broadcasting 07/05
 CERT-139  Form Sales and Use Tax Exemption for a Vessel Purchased by a Nonresident of Connecticut  12/21
 CERT-140 Form  Solar Heating Systems, Solar Electricity Generating Systems, and Ice Storage Cooling Systems  07/07
 CERT-141  Form Contractors Exempt Purchase Certificate  04/09
 CERT-142  Form Items Used Directly in the Renewable Energy and Clean Energy Technology Industries  11/10
 CERT-143  Form Sales and Use Tax Exemption for Purchases of Vessels Docked in Connecticut for 60 or Fewer Days in a Calendar Year  07/13
 CERT-144 Form  Interior Design Services Purchased by a Business for Use by Such Business 12/19