Common use of Designated Private Delivery Services Clause in Contracts

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach LLC Street address Street address 000 Xxxxxxx Xxxxxxxx City, town, or village State ZIP code City, town, or village Jericho StateNY ZIP code 11753 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA or agent or project operator of the IDA was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDA. nse for Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

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Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach Syosset Park Development, LLC Street address Street address 000 Xxxxxxx Xxxxxxxx Xxxx Xxxxxxxxxx Xxxxxx City, town, or village State ZIP code City, town, or village Jericho StateNY Indianapolis StateIN ZIP code 11753 46204 Agent or project operator sales tax ID number (see instructions) 00-0000000 Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH SYOSSET PARK DEVELOPMENT, LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B 02A Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road license or easement duri Northeast corner of Xxxxxxx Xxxx and Riverside BoulevardXxxxxx Place** or easement during construction or improved by third parties for the benefit of the Project City, town, or village Long Beach the benefit Town of the Project Oyster Bay State NY ZIP code 11561 11714 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 05 / 04 06 / 21 status ends (mm/dd/yy) ................................ 07 03 / 01 / 25 23 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse for Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach The Carlyle Building LLC Street address Street address 000 Xxxxxxx 0000 Xxxxxxxx CityXxxxxxxx Xxxxxxx, townXxxxx X Xxxx, or xxxx, xx village State ZIP code City, town, or village Jericho Ronkonkoma StateNY ZIP code 11753 11779 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project The Carlyle Building LLC, 2020 XXX project number (use OSC number) 2803-20-11A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 000-000 Xxxxxx Xxxxxx** construction or improved by third parties for the benefit of the Project City, town, or village Farmingdale State NY ZIP code 11735 Enter the date that you were appointed agent or project operator (mm/dd/yy) ........................... 12 / 23 / 20 Enter the date that agent or project operator status ends (mm/dd/yy) ................................ 12 / 01 / 22 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach LLC Roslyn Plaza Housing Associates, L.P. Street address Street address 000 Xxxxxxx Xxxxxxxx Xxxx., Xxxxx 000 City, town, or village State ZIP code City, town, or village Jericho Great Neck StateNY ZIP code 11753 11021 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project ROSLYN PLAZA HOUSING ASSOCIATES, L.P., 2020 Project XXX project number (use OSC number) 2803-20-10A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 000-000 Xxxxxx Xxxxxx** construction or improved by third parties for the benefit of the Project City, town, or village Roslyn State NY ZIP code 11557 Enter the date that you were appointed agent or project operator (mm/dd/yy) ........................... 12 / 23 / 20 Enter the date that agent or project operator status ends (mm/dd/yy) ................................ 12 / 31 / 22 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu The Breeze at Long Beach LLC Street address Street address 000 Xxxxxxx Xxxxxxxx City, town, or village State ZIP code City, town, or village Jericho StateNY ZIP code 11753 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU THE BREEZE AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B 05A Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse for Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach 555 Xxxxxxx Garden City, LLC Street address Street address 000 Xxxxxxx Xxxxxxxx 0000 X. XxXxxx Drive, Suite 200 City, town, or village State ZIP code City, town, or village Jericho StateNY Franklin, TN 37067 StateTN ZIP code 11753 37067 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project 555 XXXXXXX GARDEN CITY, LLC, 2021 Project XXX project number (use OSC number) 2803-21-04A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 555 Xxxxxxx Avenue** construction or improved by third parties for the benefit of the Project City, town, or village Garden City State NY ZIP code 11530 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 05 / 26 / 21 status ends (mm/dd/yy) ................................ 12 / 31 / 23 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach LLC NY Plumbing Wholesale and Supply Inc. Street address Street address 000 Xxxxxxx Xxxxxxxx Xxxxxxxxx City, town, or village State ZIP code City, town, or village Jericho Bronx StateNY ZIP code 11753 10455 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA or agent or project operator of the IDA was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDA. nse Name of XXX Nassau County Industrial Development Agency Name of project NY Plumbing Wholesale and Supply Inc. 2022 Project XXX project number (use OSC number) 2803-22-02A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 000 0xx Xxxxxx** construction or improved by third parties for the benefit of the Project City, town, or village Mineola State NY ZIP code 11501 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 05 / 26 / 22 status ends (mm/dd/yy) ................................ 12 / 31 / 23 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach Syosset Park Development, LLC Street address Street address 000 Xxxxxxx Xxxxxxxx Xxxx Xxxxxxxxxx Xxxxxx City, town, or village State ZIP code City, town, or village Jericho StateNY Indianapolis StateIN ZIP code 11753 46204 Agent or project operator sales tax ID number (see instructions) Mark Xxxx an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill xxxx and invoice for such purchases and indicate on the bill xxxx or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLCXXXXXXX XXXX XXXXXXXXXXX, 2021 XXX, 0000 Project XXX project number (use OSC number) 2803-21-05B 02A Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road license or easement duri Northeast corner of Xxxxxxx Xxxx and Riverside BoulevardXxxxxx Place** or easement during construction or improved by third parties for the benefit of the Project City, town, or village Long Beach the benefit Town of the Project Oyster Bay State NY ZIP code 11561 11714 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 05 / 04 06 / 21 status ends (mm/dd/yy) ................................ 07 03 / 01 / 25 23 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse for Exempt purchases (Mark Xxxx an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach CROSSWAYS INVESTORS LLC Street address Street address 000 Xxxxxxx Xxxxxxxx c/o Total Fire Protection, 0000 Xxxxxx X. City, town, or village State ZIP code City, town, or village Jericho Brooklyn StateNY ZIP code 11753 11234 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA or agent or project operator of the IDA was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDA. nse Name of XXX Nassau County Industrial Development Agency Name of project CROSSWAYS INVESTORS LLC 2021 Project XXX project number (use OSC number) 2803-21-06A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 000 Xxxxxxxxx Xxxx Xxxxx Xxxx** construction or improved by third parties for the benefit of the Project City, town, or village Woodbury State NY ZIP code 11797 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 31 / 21 status ends (mm/dd/yy) ................................ 04 / 30 / 22 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach LLC 0-000-Xxxxxxx.xxx, Inc. Street address Street address 0 Xxx Xxxxxxx Xxxx, Xxxxx 000 Xxxxxxx Xxxxxxxx City, town, or village State ZIP code City, town, or village Jericho Xxxxx Place StateNY ZIP code 11753 11514 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project 0-000-Xxxxxxx.xxx, Inc., 2020 Project XXX project number (use OSC number) 2803-20-07A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 2 Jericho Plaza** construction or improved by third parties for the benefit of the Project City, town, or village Jericho State NY ZIP code 11753 Enter the date that you were appointed agent or project operator (mm/dd/yy) ........................... 12 / 21 / 20 Enter the date that agent or project operator status ends (mm/dd/yy) ................................ 12 / 15 / 21 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Project Agreement

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Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach LLC Street 000-000 Xxxxxx Xxx XXX Xxxxxx address Street address 0000 Xxxxxxxx Xxxx, Xxxxx 000 Xxxxxxx Xxxxxxxx City, town, or village State ZIP code City, town, or village Jericho Roslyn StateNY ZIP code 11753 11576 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project 000-000 Xxxxxx Xxx LLC 2021 Project XXX project number (use OSC number) 2803-21-10A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 000-000 Xxxxxx Xxxxxx** construction or improved by third parties for the benefit of the Project City, town, or village Roslyn State NY ZIP code 11577 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 12 / 15 / 21 status ends (mm/dd/yy) ................................ 12 / 31 / 23 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach Geismar LLC Street address Street address 000 Xxxxxxx Xxxxxxxx 0 Xxxxxx Xxxx Xxxxx** City, town, or village State ZIP code City, town, or village Jericho Port Washington StateNY ZIP code 11753 11050 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project PAINT APPLICATOR CORP. OF AMERICA D/B/A PACOA / GEISMAR LLC, 2021 Project XXX project number (use OSC number) 2803-21-03A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 0 Xxxxxx Xxxx Xxxxx** construction or improved by third parties for the benefit of the Project City, town, or village Port Washington State NY ZIP code 11050 Enter the date that you were appointed agent or project operator (mm/dd/yy) ........................... 05 / 11 / 21 Enter the date that agent or project operator status ends (mm/dd/yy) ................................ 10 / 31 / 22 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach CORNERSTONE WESTBURY LLC Street address Street address 000 Xxxxxxx Xxxxxxxx XXXXXXXX XXXX, SECOND FLOOR City, town, or village State ZIP code City, town, or village Jericho FARMINGDALE StateNY ZIP code 11753 11735 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project CORNERSTONE WESTBURY LLC 2021 Project XXX project number (use OSC number) 2803-21-11A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 461 Railroad Avenue** construction or improved by third parties for the benefit of the Project City, town, or village Westbury State NY ZIP code 11590 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 12 / / 21 status ends (mm/dd/yy) ................................ 12 / 31 / 23 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach CORNERSTONE WESTBURY LLC Street address Street address 000 Xxxxxxx Xxxxxxxx XXXXXXXX XXXX, SECOND FLOOR City, town, or village State ZIP code City, town, or village Jericho FARMINGDALE StateNY ZIP code 11753 11735 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project CORNERSTONE WESTBURY LLC 2022 Project XXX project number (use OSC number) 2803-22-04A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 425 Railroad Avenue** construction or improved by third parties for the benefit of the Project City, town, or village Westbury State NY ZIP code 11590 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 06 / 16 / 22 status ends (mm/dd/yy) ................................ 12 / 31 / 24 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

Designated Private Delivery Services. New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the information is to be collected, and where it will be maintained. To view this information, visit our website, or, if you do not have Internet access, call and request Publication 54, Privacy Notification. See Need help? for the Web address and telephone number. Telephone assistance Sales Tax Information Center: To order forms and publications: Text Telephone (TTY) or TDD equipment users 000-000-0000 Visit our website at xxx.xxx.xx.xxx • get information and manage your taxes online • check for new online services and features EXHIBIT C-1 NYS FORM ST-123 FOR COMPANY [See Attached Page] C-1 New York State Department of Taxation and Finance New York State Sales and Use Tax IDA XXX Agent or Project Operator Exempt Purchase Certificate Effective for projects beginning on or after June 1, 2014 This certificate is not valid unless all entries have been completed. ST-123 (7/14) Note: To be completed by the purchaser and given to the seller. Do not use this form to purchase motor fuel or diesel motor fuel exempt from tax. See Form FT-123, XXX Agent or Project Operator Exempt Purchase Certificate for Fuel. Name of seller Name of agent or project operator Isla Blu at Long Beach Cascelta Company LLC Street address Street address 000 Xxxxxxx Xxxxxxxx Xxxxxx Xxxxx City, town, or village State ZIP code City, town, or village Jericho Bethpage StateNY ZIP code 11753 11714 Agent or project operator sales tax ID number (see instructions) Mark an X in one: Single-purchase certificate Blanket-purchase certificate (valid only for the project listed below) To the seller: You must identify the project on each bill and invoice for such purchases and indicate on the bill or invoice that the IDA XXX or agent or project operator of the IDA XXX was the purchaser. Project information Name of XXX Nassau County Industrial Development Agency Name of project ISLA BLU AT LONG BEACH LLC, 2021 Project XXX project number (use OSC number) 2803-21-05B Street address of project site **and any lands located in Nassau County and occupied by lice Between Long Beach Boulevard, Shore Road and Riverside Boulevard** or easement during construction or improved by third parties City, town, or village Long Beach the benefit of the Project State NY ZIP code 11561 Enter the date that you were appointed agent or Enter the date that agent or project operator project operator (mm/dd/yy) ........................... 08 / 04 / 21 status ends (mm/dd/yy) ................................ 07 / 01 / 25 I certify that I am a duly appointed agent or project operator of the named IDA XXX and that I am purchasing the tangible personal property or services for use in the following XXX project and that such purchases qualify as exempt from sales and use taxes under my agreement with the IDAXXX. nse Name of XXX Nassau County Industrial Development Agency Name of project CASCELTA COMPANY LLC 2020 Project XXX project number (use OSC number) 2803-20-09A Street address of project site **and any lands located in Nassau County and occupied by license or easement during 000 Xxxxxxxxx Xxxx Xxxxx** construction or improved by third parties for the benefit of the Project City, town, or village Woodbury State NY ZIP code 11590 Enter the date that you were appointed agent or project operator (mm/dd/yy) ........................... 12 / 22 / 20 Enter the date that agent or project operator status ends (mm/dd/yy) ................................ 12 / 31 / 22 Exempt purchases (Mark an X in boxes that apply)

Appears in 1 contract

Samples: Uniform Project Agreement

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