Fill Out & Sign: NY ST-120

Complete the fields below and sign electronically to submit your tax exemption certificate.

View official form for reference →

Seller Information

Name of seller *

Street address *

City *

State *

ZIP code *

Purchaser Information

Name of purchaser *

Street address *

City *

State *

ZIP code *

Type of certificate *

Vendor Certification

I certify that I am a *

Certificate of Authority (COA) number *

Issued by NY Dept. of Taxation when you registered to collect sales tax

Business Information

I am engaged in the business of *

And principally sell *

Certificate Details

I am purchasing *

Select the category that best describes your exempt purchase from GPI Supplies.

Electronic Signature

Email Address *

Full Name (Typed Signature) *

By typing your name above, you are signing this form electronically.

I agree to sign this document electronically. I understand that my electronic signature has the same legal effect as a handwritten signature under applicable law, including the federal ESIGN Act and state UETA laws.

Your information is transmitted securely. A signed PDF will be generated and stored for audit purposes. Your IP address and timestamp are recorded as part of the electronic signature trail.