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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Definition: Provides tax exemption for purchases made by qualifying nonprofit organizations. Applicable Form: Form CERT-119 Connecticut Sales and Use Tax Exemption Certificate for Qualifying Organizations.
You must complete the Form 1023-EZ Eligibility Worksheet in the Instructions for Form 1023-EZ to determine if you are eligible to file that form. If you are not eligible to file Form 1023-EZ, you must file Form 1023 to obtain recognition of exemption under Section 501(c)(3).
Tax-exempt goods Some goods are exempt from sales tax under Connecticut law. Examples include bicycle helmets, most non-prepared food items, medicines, and some medical devices and supplies.
Who is entitled (medical conditions) a permanent fistula (for example, caecostomy, colostomy, laryngostomy or ileostomy) which needs continuous surgical dressing or an appliance. a form of hypoadrenalism (for example, Addisons Disease) for which specific substitution therapy is essential.
An exemption certificate is a document that allows tax-exempt purchases based on the status or circumstances of the purchaser. A resale certificate is a document that allows a business to make tax-exempt purchases based on the assumption the goods will be resold and the sales tax will be paid by the end consumer.

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General Purpose: A qualifying exempt organization must issue this certificate to retailers when purchasing items to be used by the organization exclusively for the purposes for which it was established. Under Conn. Gen.

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