Rev 1220 as 9 08 i-2026

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The document is a Pennsylvania Exemption Certificate form used to claim exemptions from various taxes, including State and Local Sales and Use Tax, Hotel Occupancy Tax, and Vehicle Rental Tax. It outlines the conditions under which exemptions can be claimed, specifies the types of purchasers eligible for exemptions, and provides instructions for proper completion and retention of the certificate. The form must be filled out accurately to be valid and cannot be used for vehicle registration tax exemptions.

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Click ‘Get Form’ to open it in the editor.
Begin by selecting the appropriate tax exemption type at the top of the form. Check either 'State or Local Sales and Use Tax' or 'State or Local Hotel Occupancy Tax' based on your needs.
Fill in the seller's information, including name, street address, city, state, and ZIP code. Ensure all details are accurate for processing.
Choose between a Pennsylvania Tax Unit Exemption Certificate for one transaction or a Blanket Exemption Certificate for multiple transactions by checking the corresponding box.
In the exemption reasons section, select the applicable reason for your tax exemption and provide any required additional information as specified.
Complete the purchaser's details including name, signature, EIN, and date. Make sure to sign after printing for validity.

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