GOVERNMENT OF THE DISTRICT OF COLUMBIA 
        OFFICE OF TAX AND REVENUE

                 OTR-553 CONTRACTOR’S EXEMPT PURCHASE CERTIFICATE 
                             DISTRICT OF COLUMBIA SALES AND USE TAX

TO:                                                      ISSUED BY:
VENDOR                                         PURCHASER (CONTRACTOR OR SUBCONTRACTOR)

VENDORS’ STREET ADDRESS                        TRADE NAME (IF ANY)

CITY                 STATE         ZIP CODE    PURCHASER’S STREET ADDRESS

SELLER MUST KEEP THIS CERTIFICATE              CITY                 STATE    ZIP CODE
TO SUBSTANTIATE EXEMPT STATUS

FEIN                                           DC SALES AND USE TAX ACCOUNT ID NUMBER

                                  TYPES OF EXEMPTION
FEDERAL GOVERNMENT                             FEDERAL CONTRACT #

      DC GOVERNMENT                            DC CONTRACT #

      SEMIPUBLIC INSTITUTION                   EXEMPTION # OF SEMIPUBLIC INSTITUTION

      FOREIGN GOVERNMENT                       EXEMPTION #

                             PROJECT IDENTIFICATION

NAME OF U.S. OR DC AGENCY OR INSTRUMENTALITY,  SEMIPUBLIC INSTITUTION  OR FOREIGN GOVERNMENT

ORGANIZATION STREET ADDRESS                     CITY                 STATE           ZIP  CODE

NAME AND TYPE OF PROJECT

PROJECT LOCATION

I/we certify that as issuer of this certificate I/we have entered into a contract for the construction of real property for the exempt
organization indicated and that all materials purchased are for physical incorporation in this project are exempt from DC Sales and
Use Tax.

AUTHORIZED SIGNATURE                           TITLE                       DATE

This certificate does not extend to equipment rentals or any sales of materials whose nature precludes physical incorporation as a 
permanent part of the real property. To be eligible to use this certificate, you must file DC Form FR-500, Combined Business Tax       
Registration Application with the Office of Tax and Revenue, 1101 4th Street, SW Washington DC 20024 (202-727-4829).

OTR-553 REV 05-16