Loading
Form preview picture

Get Duplin County Environmental Services

DUPLIN COUNTY Health Services Main Office 910-296-2130 Environmental Health 910-296-2126 FAX 910-296-2166 340 Seminary Street PO Box 948 Kenansville NC 28349 Duplin County Environmental Health Exempt Vendor Verification Form Purpose To aid in the verification of the exempt status of corporations desiring to serve food in accordance with GS130A-250 7 Establishments that are incorporated as nonprofit corporations in accordance with Chapter 55a of the General Statues or that are exempt from federal income tax under the Internal Revenue Code as defined in GS105-228. 90 or that are political committees as defined in GS163-278. 6 14 and that prepare or serve food or drink for pay no more frequently than once a month for a period not to exceed two consecutive days including This application must be submitted at least 2 weeks prior to the date of the event. A new verification form is required for each event each location and for each vendor/promoter/contractor. A. Check the type of exemption which you are requesting and attach a copy of this status exemption* Chapter 55A of the General Statutes Exempt from federal income tax under GS 105-228. 90 501c3 Political Committees as defined in GS 163-278. 6 14 B. Using your non-profit letterhead submit the following information in a separate letter Name address and contact person for the exempt organization i*e* registered agent incorporator board member. The purpose of the fundraiser. A statement that ALL proceeds from the event are to be returned to the non-profit. Dates times and location of the event. Date and location address/city/county of the last exempted event the organization held/participated in* C. Please fill out the following completely and submit with supporting documentation from Part A and Part B. Location of Event if multiple locations please complete separate applications Non-Profit Contact Person Date s of Event Time s Daytime Phone Cell Phone Email Contact Address street city state zip Event Planner/Promoter List All Menu Items I do hereby certify that the information in this application is correct and I understand that any deviation without prior approval from the local Environmental Health office may nullify this exemption* Owner/Responsible Representative Signature Date TO BE FILLED OUT BY DUPLIN COUNTY ENVIRONMENTAL HEALTH Original forms will show a Duplin County raised seal over the approval date. Photocopies without this seal are INVALID. Paper color may change depending upon event and/or year. 90 or that are political committees as defined in GS163-278. 6 14 and that prepare or serve food or drink for pay no more frequently than once a month for a period not to exceed two consecutive days including This application must be submitted at least 2 weeks prior to the date of the event. A new verification form is required for each event each location and for each vendor/promoter/contractor. A new verification form is required for each event each location and for each vendor/promoter/contractor. A. Check the type of exemption which you are requesting and attach a copy of this status exemption* Chapter 55A of the General Statutes Exempt from federal income tax under GS 105-228.

How It Works

GS163-278 rating
4.8Satisfied
44 votes

Tips on how to fill out, edit and sign Nullify online

How to fill out and sign Letterhead online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Are you looking for a quick and convenient solution to fill out Duplin County Environmental Services at a reasonable price? Our platform will provide you with a rich selection of forms that are available for filling out on the internet. It only takes a few minutes.

Stick to these simple actions to get Duplin County Environmental Services completely ready for sending:

  1. Find the document you require in our library of templates.
  2. Open the document in our online editor.
  3. Read the recommendations to find out which data you must give.
  4. Click on the fillable fields and include the required information.
  5. Put the relevant date and insert your e-autograph once you fill out all of the fields.
  6. Double-check the document for misprints along with other errors. In case you necessity to change something, our online editor along with its wide range of instruments are available for you.
  7. Save the completed document to your gadget by hitting Done.
  8. Send the e-form to the parties involved.

Filling out Duplin County Environmental Services doesn?t have to be perplexing anymore. From now on easily cope with it from home or at your business office from your mobile or desktop computer.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Desiring FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Duplin County Environmental Services

  • rehs
  • kenansville
  • GS163-278
  • nc
  • exempted
  • Photocopies
  • desiring
  • establishments
  • nullify
  • nonprofit
  • exemption
  • letterhead
  • Pursuant
  • certify
  • Statutes
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.