Nebraska Sales Tax Form
The Nebraska Sales Tax Form, specifically known as Form 13, serves as a crucial tool for both buyers and sellers navigating the complexities of sales tax exemptions. This form allows purchasers to claim exemptions for various types of transactions, including resale purchases and exempt sales. It is essential to accurately fill out the form, which requires the names and addresses of both the purchaser and seller, as well as the type of certificate being issued—either for a single purchase or a blanket certificate that remains valid until revoked. The form also includes sections that specify the reason for the exemption, categorized into three main sections: Section A for resale purchases, Section B for exempt purchases, and Section C for contractors. Each section demands specific details, such as descriptions of the items purchased and the intended use, ensuring compliance with Nebraska's sales tax regulations. Misuse of this form can lead to significant penalties, emphasizing the importance of understanding its requirements. Sellers are required to keep the completed certificate as part of their records, further highlighting its role in maintaining accurate tax documentation.
Document Preview Example
Nebraska Resale or Exempt Sale Certificate
for Sales Tax Exemption
• Readinstructionsonreverseside/seenotebelow
FORM
13
NAME AND MAILING ADDRESS OF PURCHASER |
NAME AND MAILING ADDRESS OF SELLER |
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Name |
Name |
Street or Other Mailing Address
Street or Other Mailing Address
City |
State |
Zip Code |
City |
State |
Zip Code |
Check Type of Certificate
Single Purchase

Blanket If blanket is checked, this certiicate is valid until revoked in writing by the purchaser.
I hereby certify that the purchase, lease, or rental by the above purchaser is exempt from the Nebraska sales tax for the following reason:
Check One |
Purchase for Resale (Complete Section A) |
Exempt Purchase (Complete Section B) |
Contractor (Complete Section C) |
SECTION A — Nebraska Resale Certificate
Description of Item or Service Purchased
I hereby certify that the purchase, lease, or rental of
from the above seller is exempt from the Nebraska sales tax as a purchase for resale, rental, or lease in the normal course of our business, either in the form or condition in which purchased, or as an ingredient or component part of other property to be resold.
I further certify that we are engaged in business as a:
of Description of Product Sold, Leased, or Rented
Wholesaler
Retailer
Manufacturer
Lessor
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If None, State Reason |
and hold Nebraska Sales Tax Permit Number 01- |
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or Foreign State Sales Tax Number |
State |
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SECTION B — Nebraska Exempt Sale Certificate |
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The basis for this exemption is exemption category |
(Insert appropriate category as described on reverse of this form.) |
If exemption category 2 or 5 is claimed, enter the following information:
Description of Item(s) Purchased |
Intended Use of Item(s) Purchased |
If exemption categories 3 or 4 are claimed, enter the Nebraska Exemption Certiicate number. 05 -
If exemption category 6 is claimed, seller must enter the following information and sign this form below:
Description of Item(s) Sold |
Date of Seller’s Original Purchase |
Was Tax Paid when Purchased by Seller? |
Was Item Depreciable? |

YES
NO |
YES |
NO
SECTION C — For Contractors Only
1.purchasesofbuildingmaterialsorfixtures:
As an Option 1 or Option 3 contractor, I hereby certify that purchases of building materials and ixtures from the above seller are exempt from
Nebraska sales tax. My Nebraska Sales or Consumer’s Use Tax Permit Number is: |
01- |
2.purchasesmadeunderpurchasingagentappointmentonbehalfof_________________________________________________:
(exempt entity)
Pursuant to an attached Purchasing Agent Appointment and Delegation of Authority for Sales and Use Tax, Form 17, I hereby certify that purchases of building materials, and ixtures are exempt from Nebraska sales tax.
Any purchaser, or their agent, or other person who completes this certificate for any purchase which is other than for resale, lease, or rental in the regular course of the purchaser’s business, or is not otherwise exempted from the sales and use tax under Neb. Rev. Stat.
sign
here |
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Authorized Signature |
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Title |
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Date |
NOTE: Sellersmustkeepthiscertiicateaspartoftheirrecords. DonotSenDtothenebRaSkaDepaRtmentofRevenue.
Incompletecertiicatescannotbeaccepted.
INSTRUCTIONS
Who maY ISSue a ReSaLe CeRtIfICate. Form 13, |
(3) a statement of basis for exemption including completion of all |
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Section A, is to be issued by persons or organizations making |
information for the basis chosen, (4) the signature of an authorized |
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purchases of property or taxable services in the normal course of |
person, and (5) the date the certiicate was issued. |
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their business for the purpose of resale either in the form or condition |
penaLtIeS.Any purchaser who gives a Form 13 to a seller for |
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in which it was purchased, or as an ingredient or component part of |
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any purchase which is other than for resale, lease, or rental in the |
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other property. |
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normal course of the purchaser’s business, or is not otherwise |
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Who maY ISSue an eXempt SaLe CeRtIfICate. |
exempted from sales and use tax under the Nebraska Revenue Act, |
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Form 13, Section B can only be issued by persons or organizations |
shall be subject to a penalty of $100 or ten times the tax, whichever |
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exempt from payment of the Nebraska sales tax by qualifying for |
amount is larger, for each instance of presentation and misuse. |
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one of the six enumerated Categories of Exemption (see below). |
Any purchaser, or their agent, who fraudulently signs a Form 13 |
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Nonprofit organizations that have a 501(c) designation and are |
may be found guilty of a Class IV misdemeanor. |
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exempt from federal and state income tax are not automatically |
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CATEGORIES OF EXEMPTION |
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exempt from sales tax. Only the entities listed in the referenced |
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1. Purchases made directly by certain governmental agencies |
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regulations are exempt from paying Nebraska sales tax on their |
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purchases when the exemption certiicate is properly completed and |
identiied in Nebraska Sales and Use Tax |
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provided to the seller. Organizations claiming a sales tax exemption |
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may do so only on items purchased for their own use. For health care |
and |
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organizations, the exemption is limited to the speciic level of health |
A list of speciic governmental units are provided in the above |
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care they are licensed for. The exemption is not issued to the entire |
regulations. Governmental units are not assigned exemption |
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organization when multiple levels of health care or other activities are |
numbers. |
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provided or owned by the organization. Items purchased by an exempt |
Sales to the United States government, its agencies, and |
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organization that will be resold must be supported by a properly |
corporations wholly owned by the United States government are |
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completed Nebraska Resale Certiicate, Form 13, Section A. |
exempt from sales tax. However, sales to institutions chartered |
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Indicate the category which properly relects the basis for your |
or created under federal authority, but which are not directly |
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exemption. Place the corresponding number in the space provided |
operated and controlled by the United States government for the |
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in Section B. If category 2 through 6 is the basis for exemption, you |
beneit of the public, generally are taxable. Construction projects |
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must complete the information requested in Section B. |
for federal agencies have speciic requirements, see |
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Nebraska Sales and Use Tax |
Contractors. |
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Purchases that are not exempt from Nebraska sales and use tax |
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Certificate, and |
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include, but are not limited to, governmental units of other states, |
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additional information on the proper issuance and use of this |
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sanitary and improvement districts, urban renewal authorities, |
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certificate. These and other regulations referred to in these |
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rural water districts, railroad transportation safety districts, and |
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instructions are available on our Web site: www.revenue.ne.gov/ |
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county historical or agricultural societies. |
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legal/regs/slstaxregs. |
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2. Purchases when the intended use renders it exempt as set out |
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Use Form 13E for purchases of energy sources which qualify for |
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in paragraph 012.02D of |
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exemption. Use Form 13ME for purchases of mobility enhancing |
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the description of the item purchased and the intended use as |
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equipment on a motor vehicle. |
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required on the front of Form 13. Sellers of repair parts for |
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ContRaCtoRS.Form 13, Section C, Part 1, must be completed |
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agricultural machinery and equipment cannot accept a Form 13 |
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by contractors operating under Option 1 or Option 3 to document |
to exempt such sales from tax. |
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their |
3. Purchases made by organizations that have been issued a |
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suppliers. Section C, Part 2, may be completed to exempt the |
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Nebraska |
Exempt Organization - Certiicate of Exemption are |
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purchase of building materials or ixtures pursuant to a Purchasing |
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exempt from sales tax. |
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Agent Appointment, Form 17. See the contractor information guides |
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on our Web site www.revenue.ne.gov for additional information. |
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Institutions, identify such organizations. These organizations will |
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WheReto fILe. Form 13 is given to the seller at the time of |
be issued a Nebraska state exemption identiication number. This |
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the purchase of the property or service or when sales tax is due. |
exemption number must be entered in Section B of the Form 13. |
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The certiicate must be retained with the seller’s records for audit |
4. Purchases of common or contract carrier vehicles and repair and |
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purposes. Do not send to the Department of Revenue. |
replacement parts for such vehicles. |
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SALES TAX NUMBER. A purchaser who completes Section A |
5. Purchases |
of manufacturing machinery or equipment by |
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and is engaged in business as a wholesaler or manufacturer is |
a taxpayer engaged in business as a manufacturer for use |
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not required to provide an identification number. |
predominantly in manufacturing. This includes the installation, |
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purchasers can provide their home state sales tax number. Section B |
repair, or maintenance of such qualiied manufacturing machinery |
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does not require an identification number when exemption |
or equipment (see Revenue Ruling |
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category 1, 2, or 5 is indicated. |
6. A sale that qualiies as an occasional sale, such as a sale of |
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pRopeRLY CompLeteD CeRtIfICate. A purchaser |
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depreciable machinery and equipment productively used by the |
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must complete a certificate before issuing it to the seller. To |
seller for more than one year and the seller previously paid tax on |
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properly complete the certificate, the purchaser must include: |
the item. The seller must sign and give the exemption certiicate |
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(1) identiication of the purchaser and seller, (2) a statement whether |
to the purchaser. The certiicate must be retained by the purchaser |
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the certiicate is for a single purchase or is a blanket certiicate, |
for audit purposes (see |
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File Information
| Fact Name | Details |
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| Form Purpose | The Nebraska Sales Tax Form, known as Form 13, is used to certify sales tax exemptions for resale or exempt purchases. |
| Governing Laws | This form is governed by Nebraska Revised Statutes §§77-2701 through 77-27,135. |
| Certificate Types | Form 13 allows for two types of certificates: Single Purchase and Blanket Certificate. |
| Exemption Categories | Exemptions can fall into six categories, including purchases for resale and purchases made by exempt organizations. |
| Signature Requirement | The form must be signed by an authorized person, affirming the accuracy of the information provided. |
| Record Keeping | Sellers must retain the completed Form 13 as part of their records for audit purposes and do not send it to the Nebraska Department of Revenue. |
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