Illinois Certificate of Sales Tax Exempt Purchase for Building Materials

Certificate of Sales Tax Exempt Purchase for Building Materials
EZ-1, Certificate of Exempt Purchase for Building Materials
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Illinois Department of Revenue

EZ-1 Certificate of Exempt Purchase for Building Materials

Use of this form requires the purchaser to have a valid Building Materials Exemption Certificate from the Illinois Department of Revenue.

Step 1:

Identify the seller

The seller must keep this certificate.
Name _______________________________________________

Address __________________________________________

Phone (_______)______________________________________

________________________________________________

Step 2:

Number and street

City

State

ZIP

Identify the purchaser and purchaser’s certificate number

Name _______________________________________________

Phone (_______)___________________________________

Address _____________________________________________

Date of purchase

___________________________________________________

Purchaser’s Building Materials Exemption Certificate Number:

Number and street

City

Step 3:

State

ZIP

___ ___/___ ___/___ ___ ___ ___
Month

Day

Year

________________________________________________

Location or address of the real estate into which building materials will be
permanently incorporated

Name of Zone or High Impact / REV / MICRO Business __________________________________________________________
Project Name _____________________________________________________________________________________
Location _____________________________________________
___________________________________________________

Step 4:

OR

Address ________________________________________
Number and street

______________________________________________
City

State

ZIP

Identify the building materials you are purchasing

Description of building materials purchased ____________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

Step 5:

Sign below

I certify that the building materials described above are being purchased for incorporation into the real estate at the
address or location indicated above.
___________________________________________________________________________________ __ __/__ __/__ __ __ __
Purchaser’s signature

Date

For more information about Building Materials Exemptions, visit the Illinois Department of Revenue’s (IDOR) website at tax.illinois.gov.
Select the “Businesses” link under the “Tax Resources” drop-down menu on the homepage and then select the “Business Incentives
Reporting” quick link.
Note to seller: It is the seller’s responsibility to verify that the purchaser’s building materials exemption certificate number is valid and active.
You can confirm this by using the “Verify the validity of a Building Material Exemption Certificate” tool on our website at tax.illinois.gov.
EZ-1 (R-04/23)
Printed by the authority of the state of Illinois
one copy, electronic only

This form is authorized by the Illinois Retailers’ Occupation Tax Act. Disclosure of this information is required.
Failure to provide information may result in this form not being processed and may result in a penalty.

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