Texas Agricultural Sales and Use Tax Exemption Certificate
Commercial agricultural producers must use this form to claim exemption from Texas sales and use tax when buying, leasing or renting qualifying agricultural items they will use exclusively in the production of agricultural products for sale.

You cannot use this form to claim exemption from motor vehicle tax when buying motor vehicles, including trailers. To claim motor vehicle tax exemption, you must give a properly completed Texas Motor Vehicle Tax Exemption Certificate for Agricultural and Timber Operations (Form 14-319) to the vehicle’s seller or dealer. You must also claim the exemption on the Application for Texas Title (Form 130-U) when titling or registering the vehicle with the local County Tax Assessor-Collector.

This form is not required when purchasing the following types of agricultural items:
• horses, mules and work animals commonly used in agricultural production;
• animal life, the products of which ordinarily constitute food for human consumption, such as cows, goats, sheep, chickens, turkeys and pigs;
• feed for farm and ranch animals, including oats, corn, chicken scratch and hay; and
• seeds and annual plants, the products of which are commonly recognized as food for humans or animals (such as corn, oats and soybeans) or are usually only raised to be sold in the regular course of business (such as cotton seed).

All other purchases of agricultural items require this properly completed form to claim a sales tax exemption. You can find information on what items do and do not qualify for exemptions here or by looking at page 2 of Form 01-924 found here.

Retailer Information
MEDINA ELECTRIC COOPERATIVE, INC.
PO BOX 370
HONDO, TX 78861-0370
Proper use of this certificate

Purchasers - You can only use this certificate for items you purchase for exclusive use in an exempt manner. You should be familiar with qualifying items. Any non-agricultural or personal use disqualifies the purchase from exemption.

Examples of exempt and taxable items can be found here.

Retailers - You can accept this certificate in good faith at the time of sale if it is properly completed with an ag/timber number and expiration date. You can also accept it as a blanket certificate covering all sales made during the time this certificate is valid on qualifying items that can reasonably be used to produce agriculture products for sale.

*Name of Purchaser:
*Address:
*City:
*State:
*ZIP Code:
*Phone Number:
*Email Address:
*Ag/Timber Number:
Please list the name of the person to whom the number is registered, if different than purchaser.
Person to whom number is registered:
*This certificate expires on Dec. 31, 20:
*Customer Number:
I understand that I am required to keep records to verify eligibility for the exemption(s) claimed and that I will be required to pay sales or use tax on purchases that do not qualify for the exemption(s), in addition to any applicable interest and penalties.

I understand that it is a criminal offense to issue an exemption certificate to the seller for taxable items that I know will be used in a manner that does not qualify for the exemptions found in Tax Code Section 151.316. The offense may range from a Class C misdemeanor to a felony of the second degree.


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Purchaser's Name:
Date: (MM/DD/YYYY)



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