ST19

ST19
Operator Certificate of Compliance
Read the information on the back before completing this certificate.Person selling at event: Complete this certificate and give it to the operator/organizer of the event. Operator/organizer of event:Keep this certificate for your records.

Do not send this form to the Department of Revenue.
Name of Business Selling or Exhibiting at Event
Minnesota Tax ID Number
Seller’s Complete Address

Street Address Line 2

CityState

ZIPCode
Name of Person or Group Organizing Event
Name and Location of Event
Date(s) of Event

MonthDayYear
Describe the type of merchandise you plan to sell.
Complete this section if you are not required to have a Minnesota tax ID number.

I am selling only nontaxable items.I am not making any sales at the event.I participate in a direct selling plan, selling for ____________ (name of company) and the home office or top distributor has a Minnesota tax ID number and remits the sales tax on my behalf. This is:
This is a fill in the blank field. Please add appropriate information for the check box above fields and text.
a nonprofit organization that meets the exemption requirements described A nonprofit organization that meets all the criteria set forth in MS 297A.70, subd. below:Candy sold for fundraising purposes by a nonprofit organization that provides educational and social activities for young people primarily aged 18 and under (MS 297A.70, subd. 13[a][4]}Youth or senior citizen group with fundraising receipts up to $20,000 per year ($10,000 or less before January 1, 2015) (MS 297A.70, subd. 13[b][1]}a nonprofit organization that meets the exemption requirements describedA nonprofit organization that meets allthe criteria set forth in MS 297A.70, subd. below:
I declare that the information on this certificate is true and correct to the best of my knowledge and belief and that I am authorized to sign this form.
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ST19

Operator Certificate of Compliance