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            GOVERNMENT OF THE DISTRICT OF COLUMBIA
            OFFICE OF TAX AND REVENUE                                                                                                                      YEAR 20 ___

                   FP-337 QUALIFIED HIGH TECHNOLOGY COMPANY—EXEMPT PURCHASE CERTIFICATE 
                                                                     DISTRICT OF COLUMBIA SALES AND USE TAX

VENDOR                                                                                               PURCHASER

VENDO    S   S ’ R TREE          A   T DDRESS                                                        TRAD     N   E AM A   F I (   E N    ) Y

 T I C Y                                                            S T A T E          C   P I Z ODE PURCHASE          S   S ’ R TREE        A   T DDRESS

NOTE:    SE        L L E   R MUS           K   T EE T   P C   S I H ER C I F I T T A E                T I C Y                                            S T A T E C   P I Z ODE
TO SUBSTANTIATE EXEMPT STATUS

                                                                                                      0 FEIN                     0 SSN

0 FEIN                   0 SSN                                                                       DC SALES AND USE TAX ACCOUNT ID NUMBER

                                                                                       TYPES OF EXEMPTION

         Sales to a Qualified High Technology Company of computer software or hardware, and visualization and human interface
         technology equipment, including operating and applications software, computers, terminals, display devices, printers, cable,
         fiber, storage media, networking hardware, peripherals  and modems are exempt from sales and use tax when purchased 
          for use in connection with the operation of the Qualified High Technology Company.

         I certify that all items of the above mentioned property purchased from you are for use in connection with the operation
         of a Qualified High Technology Company as defined in DC Code §47-1817.01(5)(A).

         This certificate shall be considered a part of each order we shall give, provided the order contains our District of
         Columbia Sales and Use Tax Account ID Number. It will continue in force until revoked by our written notice to you. 

 AUTHO    Z I R E      G I S   D N     T A URE                                                                T I T LE                                             D T A E

                                                                                       INSTRUCTIONS

To use this certificate the purchaser (issuer) must be register ed (Form FR-500) with DC for sales and use tax.  This certificate is not valid unless it 
contains the

If the purchaser buys items from the seller that do not qualify for tax exemption, the purchaser should advise the seller to charge the appropriate 
sales tax on such items. Otherwise, the purchaser is required to report and pay any use tax owed directly to the Office of Tax and Revenue using the 
appropriate Sales and                  Use Tax return, FR-800A (annual), FR-800M (monthly) or FR-800Q (quarterly).
The seller must retain all QHTC Exempt Purchase Certificates to substantiate tax exemptions in case of an audit of its DC Sales and Use Tax returns.

FP-337 REV 05/16






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