STEC CO
                                             Reset Form                                                  Rev. 11/14

  tax.ohio.gov

                                            Sales and Use Tax
                                 Contractor’s Exemption Certifi cate

Identifi cation of Contract:
Contractee’s (owner’s) name   
Exact location of job/project 
Name of job/project as it appears
on contract documentation 
The undersigned hereby certifi es that the tangible personal property purchased under this exemption from:

                                             Vendor’s name
was purchased for incorporation into:

 A building used exclusively for charitable purposes         Real property that is owned, or will be accepted for 
  by a nonprofi t organization operated exclusively for         ownership at the time of completion, by the United 
  charitable purposes as defi ned in Ohio Revised Code          States government, its agencies, the state of Ohio or 
  (R.C.) section 5739.02(B)(12);                               an Ohio political subdivision;

 A horticulture structure or livestock structure for a per-  Real property under a construction contract with the 
  son engaged in the business of horticulture or produc-       United States government, its agencies, the state of 
  ing livestock;                                               Ohio, or an Ohio political subdivision;           
 The original construction of a sports facility under R.C.   A building under a construction contract with an organi-
  section 307.696;                                             zation exempt from taxation under section 501(c)(3) of 
                                                               the Internal Revenue Code of 1986 when the building 
 A hospital facility entitled to exemption under R.C.         is to be used exclusively for the organization’s exempt 
  section 140.08;                                              purposes; 

 A computer data center entitled to exemption under          A house of public worship or religious education;
  R.C. 122.175;

 Real property outside this state if such materials and      Building and construction materials and services sold 
  services, when sold to a construction contractor in the      for incorporation into real property comprising a con-
  state in which the real property is located for incorpora-   vention center that qualifi es for property tax exemption 
  tion into real property in that state, would be exempt       under R.C. 5709.084 (until one calendar year after the 
  from a tax on sales levied by that state;                    construction is completed).

This certifi cate may be used by a contractee or subcontractor when buying materials for a construction contract where the 
owner/contractee has claimed one of the above exemptions. This certifi cate covers all sales of materials by the above-named 
vendor to the contractor or subcontractor for this particular construction contract only.
Contractor/subcontractor
                                     Name    

                                     Signed by                                           Title  

                                     Street address 

                                     City, state, ZIP code 

                                     Date