State of Connecticut Hartford CT 06106-5032 CERT-126-2026

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  1. Click ‘Get Form’ to open the CERT-126 in the editor.
  2. Begin by entering the 'Name and Address of Low and Moderate Income Housing Facility' at the top of the form. Ensure accuracy as this information is crucial for tax exemption.
  3. Fill in the 'Name of Purchaser' and 'Address'. If applicable, include your Connecticut Tax Registration Number and Federal Employer ID Number.
  4. Select the appropriate box to indicate whether you are a Sponsor, Owner, Operator, or Contractor of the facility.
  5. If you are a contractor, provide a brief description of your contract's purpose and identify any other contracting parties involved.
  6. List each item or service purchased in detail. This ensures clarity on what is being exempted under this certificate.
  7. Choose between a 'Blanket Certificate' for ongoing purchases or 'Certificate for One Purchase Only' based on your needs.
  8. Attach a signed and dated copy of the DRS Facility Approval Letter to validate your exemption claim.
  9. Complete the declaration section by signing and dating it, confirming that all information provided is accurate.

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