Momentum Telecom: Tax Exemption Forms
Download Exemption Forms Below
Completed Exemption Forms
Full Packet
2024 - Full Packet of Exemption Certificates
Federal
2024 Federal Universal Service Fund Exemption Certificate
Federal Excise Tax Exemption Certificate
Multi Jurisdictional
Regulatory Fee Surcharge Resale Certificate
Gross Receipts Tax / Surcharges Resale Certificate
Certification of Resale Exemption from Payment of 911/E911 Taxes and Fees
State Universal Service Fund Surcharge Exemption Certificate
Uniform Sales & Use Tax Resale Certificate
Jurisdiction Specific
AL - Sample Alabama Rental, Sales & Utility Privilege Tax Certificate
CA CDTFA-230 - California sales tax
Certificate of Exemption from City of Los Angeles Communications Users Tax
California Local Utility Users Tax Blanket Resale Certificate
CO DR-0563 - Colorado sales tax
CO Home Rule City Exemption Certificate - Colorado home rule city sales tax
DC - Sample DC Sales & Use Resale Certificate
DC - Sample DC Toll Telecommunications Resale Certificate
Delaware License and Excise Tax Exemption Certificate
FL DR-13 - Sample Florida sales tax exemption certificate
FL DR-700015 - Sample Florida communications tax exemption certificate
HI G-17 - Hawaii sales and telecommunications taxes
IL CRT-61 - Illinois sales and telecommunications taxes
IL - Sample Telecom Excise Tax License
CHI Telecommunications Tax 7501 Registration Certificate*
IN ST-109NP&G – Sample Indiana sales tax exemption
KY 51A105 - Kentucky sales tax
LA R-1064 - Sample Louisiana Resale Certificate
ME - Sample ME Resale Certificate
MD Suggested Blanket Resale Certificate
MA ST-4 - Massachusetts sales tax
MS Sales Tax Permit - Sample
MT Form TEC - Montana telecommunications tax
NH CST Cert of Resale - Sample
NM Nontaxable Transaction Certificate - Sample
NY CT-120 - New York Sec. 186-e gross receipts tax surcharges
NY ST-120 - New York sales and telecommunications taxes
PA - GRT Telecom Reseller Acknowledgement Form - Sample
TN - Sample TN Resale Certificate
VA CT-10 - Virginia sales and telecommunications taxes
WA Reseller Permit - Sample
WV & WY - Streamlined Sales Tax SSTGB Form F0003
Frequently Asked Questions/Exemption Certificate Directory