INSTRUCTIONS: MISSISSIPPI CONTRACTOR'S APPLICATION FOR MATERIAL PURCHASE CERTIFICATE AND/OR CONTRACT QUALIFICATION (Form 72-405)

Mississippi contractors working on any commercial construction whose contract is valued at $10,000 or more must complete a Form 72-405. This form is available on the website of the Mississippi Department of Revenue.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 1: At the top of the page, enter your sales tax account number.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 2: Section A asks for information about your contracting company. Indicate the type of ownership, give your identifying Social Security number or Federal Employer Identification Number, and provide the name and address of your business.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 3: Section B concerns the contract in question.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 4: Question four asks about the date on which the contract was started, as well as the estimated starting and ending dates.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 5: Describe the work to be performed in response to question five.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 6: Question six asks for the name and address of the contractors, while question seven asks for their phone number.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 7: Give the location of the job site in response to question eight. Give the estimated contract price rounded to the nearest whole dollar in response to question nine.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 8: Question 10 concerns all applicable sales and use taxes, as well as blanket and job bonds.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 9: Section C requires you to give the name and address of all sub-contractors. Give the amount of their contract and describe the work they will be performing.

Mississippi Contractor's Application For Material Purchase Certificate And/Or Contract Qualification 72-405 Step 10: You or your registered agent should sign the bottom of the last page. Give the date and a phone number at which you can be contacted.