STEC CC
                                                Reset Form                                       Rev. 11/14

               tax.ohio.gov

                                                Sales and Use Tax
                           Construction Contract Exemption Certifi cate

Identifi cation of Contract:
Contractee’s (owner’s) name   
Exact location of job/project 
Name of job/project as it appears
on contract documentation 
The undersigned hereby certifi es that the tangible personal property purchased under this exemption certifi cate was pur-
chased for incorporation into:

     A building used exclusively for charitable purposes         Real property that is owned, or will be accepted for 
      by a nonprofi t organization operated exclusively for         ownership at the time of completion, by the United 
      charitable purposes as defi ned in Ohio Revised Code          States government, its agencies, the state of Ohio or 
      (R.C.) section 5739.02(B)(12);                               an Ohio political subdivision;

     Real property under a construction contract with the        A computer data center entitled to exemption under 
      United States government, its agencies, the state of         R.C. 122.175;
      Ohio or an Ohio political subdivision;
                                                         
     A horticulture structure or livestock structure for a per-  A building under a construction contract with an organi-
      son engaged in the business of horticulture or produc-       zation exempt from taxation under section 501(c)(3) of 
      ing livestock;                                               the Internal Revenue Code of 1986 when the building 
                                                                   is to be used exclusively for the organization’s exempt 
     A house of public worship or religious education;            purposes;

     The original construction of a sports facility under R.C.   A hospital facility entitled to exemption under R.C. 
      section 307.696;                                             section 140.08;

     Real property outside this state if such materials and      Building and construction materials and services sold 
      services, when sold to a construction contractor in the      for incorporation into real property comprising a con-
      state in which the real property is located for incorpora-   vention center that qualifi es for property tax exemption 
      tion into real property in that state, would be exempt       under R.C. 5709.084 (until one calendar year after the 
      from a tax on sales levied by that state;                    construction is completed).

The original of this certifi cate must be signed by the owner/contractee and/or government offi cial and must be retained by 
the prime contractor. Copies must be maintained by the owner/contractee and all subcontractors. When copies are issued to 
suppliers when purchasing materials, each copy must be signed by the contractor or subcontractor making the purchase.
Prime Contractor                                                 Owner/Contractee
Name                                                             Name    
Signed by                                                        Signed by 
Title                                                            Title  
Street address                                                   Street address 
City, state, ZIP code                                            City, state, ZIP code 
Date                                                             Date  

Subcontractor                                                    Political Subdivision
Name                                                             Name  
Signed by                                                        Signed by 
Title                                                            Title   
Street address                                                   Street address
City, state, ZIP code                                            City, state, ZIP code 
Date                                                             Date