The undersigned hereby claims an exemption from payment of sales taxes under
Chapter 20, Title 122A, for the purchase of the taxable items described below or on the
attached order or invoice that is made a part hereof and will be purchased from
The reason that the undersigned purchaser is claiming this exemption is that the
undersigned is an organization created for religious educational, charitable and
eleemosynary purposes entitled to claim this exemption pursuant to Chapter 20.04(H),
Texas Revised Civil Statutes, by the Comptroller of Public Accounts in Hearing No.
We, as the purchaser, understand that we will be liable for payment of the limited
sales and use tax if we use the items purchased using this Exemption Certificate in some
manner other than the reason listed above and will be liable for the tax based on the price
paid for the taxable items.
We further understand that it is a misdemeanor to give a sales tax exemption
certificate to the seller for taxable items that we know at the time of purchase will be used
in a manner other than that expressed in this certificate and that, upon conviction, we may
be fined not more than $500.00 per offense.
Executed this the ____________ day of _______________ 20___.
The Grand Commandery
Knights Templar of Texas
2013 Young Street
Dallas, Texas 75201
Loyd L. Chance