Fill and Sign the Mississippi Exemption Form

APPLICATION OF       FOR EXEMPTION FROM AD VALOREM TAXES FOR CERTAIN MANUFACTURED PRODUCTS HELD FOR SALE OR SHIPMENT TO OTHER THAN FINAL CONSUMER FOR A PERIOD OF TEN (10) YEARS, AS AUTHORIZED BY SECTION 27-31-7 OF THE MISSISSIPPI CODE OF 1972, AS AMENDED TO THE HONORABLE BOARD OF SUPERVISORS OF       COUNTY, MISSISSIPPI:       fles this its application for exemption from ad valorem taxation, except ad valorem taxes for school district purposes, pursuant to Section 27-31-7 of the Mississippi Code of 1972, as amended, and respectfully represents unto this Honorable Board as follows: 1. Applicant,       , is a business corporation domiciled in the City of       ,       County, Mississippi. 2. Applicant is a distributor or wholesale merchant located within the City of       ,       County, Mississippi, within the meaning of Section 27-31- 7 of the Mississippi Code of 1972, as amended. 3. Pursuant to Section 27-31-7 of the Mississippi Code of 1972, as amended, Applicant is eligible for an exemption from ad valorem taxes, except ad valorem taxes for school district taxes, on all or any portion of the value of products, including fnished goods, owned by or remaining in its hands and located within       County, Mississippi. 4. As provided by the applicable statute, the exemption hereby requested should commence on the date the exemption requested by this - 1 - application is granted by the       County Board of Supervisors and should continue for a total period of ten (10) years. 5. Applicant employs approximately       employees with an annual payroll of over $       . WHEREFORE, applicant prays that this Board enter a fnding that Applicant is in fact a distributor or wholesale merchant located within the City of       ,       County, Mississippi, within the meaning of Section 27-31- 7 of the Mississippi Code of 1972, as amended; and That applicant be granted an exemption from ad valorem taxation, except taxes for school district purposes, for ten (10) years, beginning the date this application is granted, upon all or any portion of the products, including fnished goods, owned by or remaining its' hands in       County, Mississippi; and That this Board approve this application by a fnal order or resolution spread upon its minutes, declaring that all or any portion of the products, including fnished goods, owned by or remaining in Applicants' hands in       County, Mississippi is exempt from ad valorem taxation, except taxes for school district purposes, for ten (10) years, beginning on the date this application is granted. Respectfully submitted, this the       day of       , 20       .       By: ____________________________ - 2 -       , President ATTEST: _____________________________, Secretary - 3 - STATE OF MISSISSIPPI COUNTY OF       PERSONALLY APPEARED BEFORE ME, the undersigned authority in and for the said county and state on this the       day of       ,       , within my jurisdiction, the within named       and       , who acknowledged that they are President and Secretary, respectively, of       , a Mississippi business corporation, and that for and on behalf of the said corporation, and as its act and deed he executed the above and foregoing instrument, after frst having been duly authorized by said corporation so to do. _______________________________ NOTARY PUBLIC MY COMMISSION EXPIRES:       - 4 -