Lion Country Safari - Tax Exempt Form

Home of the Drive Through Safari Adventure

In order for us to comply with Florida Department of Revenue regulations regarding tax-exempt groups, we request your cooperation in completing the form below.

We know that completing this form is both time-consuming and confusing; however, officials at the Florida Department of Revenue have advised us that it is required in order for us to admit your group without adding sales tax.

Additionally, the taxing authorities have informed us that in order for purchases to be tax-exempt, payment must be made in the form of a check from the tax-exempt institution or a credit card in the name of the institution. Cash, personal checks, or personal credit cards cannot be accepted for tax-exempt sales [State of Florida Department of Revenue Rule 12A-1.061(13)].

In the event your group arrives with a form of payment that does not meet the requirements for a tax-exempt sale, we will be glad to admit your group on a taxable basis.

Thank you very much for your cooperation.

Lion Country Safari, Inc. Florida


The undersigned hereby affirms that:

(Your Name)	A value is required.
is a representative of the exempt governmental or nonprofit organization identified below and that the purchase of tangible personal property or services, or the rental of living accommodations made on (Date)

from Lion Country Safari, Inc. Florida is for the use by the exempt governmental or nonprofit organization. The undersigned further affirms that the charges for the purchase of lease of tangible personal property or services or the rental of living accommodations from Lion Country Safari will be billed to and paid directly by the exempt governmental or nonprofit organization.

Authorized signature on behalf of the exempt entity: (A Signature Will Be Required Upon Your Group's Arrival)

Fill in the fields below with information from the Exempt Entity.

Name:

Address:

City:

State:

Zip:

Certificate of Exemption Number:

Email:	A value is required.Invalid format.

Home of the Drive Through Safari Adventure!
2003 Lion Country Safari Road - Loxahatchee, Florida 33470

(561) 793-1084