Transaction Privilege Tax Healthcare Exemption Certificate
The purpose of the Certificate is to document tax-exempt transactions with qualified purchasers. It is to be filled out completely by the purchaser and furnished to the vendor. The vendor shall retain this Certificate along with a copy of the organization’s annual “Exemption Letter” for single transactions or for specified periods as indicated.
Form Number:
5000HC
Category:
| Form Year | Form | Published |
|---|---|---|
| Current |
 Download (267.7 KB) |
12/04/2020 |