Department and serial number
The department, agency, or office, and the form's serial number, beside a note to read the instructions on the reverse side.
SF1094
United States Tax Exemption Form
Standard Form 1094 (SF 1094), United States Tax Exemption Form, records an item purchased for the exclusive use of the United States Government and the State or Local tax excluded from its price. The footer reads STANDARD FORM 1094 (REV. 4/2015) and says it is prescribed by GSA-FAR (48 CFR) 53.229, the same citation GSA's page lists. GSA hosts a copy in its forms library.
The instructions on the back say the form will be used to establish the Government's exemption or immunity from State or Local taxes whenever no other evidence is available, and will be provided to the vendor when the prices exclude State or Local tax. The front holds the item, vendor, purchase or contract, tax amount, purchaser and vendor representative details.
You can fill it out free in your browser on this page and download the result without an account.

The department, agency, or office, and the form's serial number, beside a note to read the instructions on the reverse side.

A description of the item purchased for exclusive use of the United States Government, with quantity and unit price ($).
The vendor's name and address, and a statement that a tax exemption form has not previously been issued and the item(s) has (have) been delivered and invoiced pursuant to a purchase or contract number and dates.
Separate State and Local lines for the amount of tax excluded ($).

Designated office symbol number, voucher number and date.
The purchaser's signature, date, office title and address, and the signature, date and title of the vendor's representative.
The instructions say the form shall NOT be used for quarters or subsistence bought by employees in travel status, privately owned vehicle expenses with an authorized mileage allowance, or merchandise subject only to Federal Tax.
Enter the department, agency, or office, the item, quantity and unit price, and the vendor's name and address.
Add the purchase or contract number, the dates and the amount of tax excluded. The back says to use a separate form for each tax if both State and Local taxes are involved.
The purchaser signs and dates the form and enters an office title and address.
The back says the form will be provided to the vendor when the prices exclude State or Local tax. The vendor's representative has a signature, date and title line.
The back says the serial number of each form prepared will be shown on the payment voucher.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The PDF prints no filing address. The back says the form will be provided to the vendor when the prices exclude State or Local tax.
The back says that if the spaces on the face of the form are inadequate, attach a separate statement containing the required information.
If both State and Local taxes are involved, the back says to use a separate form for each tax.
The back says the fraudulent use of this form for the purpose of obtaining exception from or adjustment of taxes is prohibited.
The footer says PREVIOUS EDITION NOT USABLE. GSA's page gives 04/2015 as the current revision date.
The purchaser signs the statement that the information is true and correct to the best of my knowledge and belief, and gives an office title and address.
The vendor from which the item was purchased is named with its address. The back says the form will be provided to the vendor when the prices exclude State or Local tax.
The bottom of the form has a signature, date and title line for the vendor's representative.
The top names the department, agency, or office with a serial number. A box marked FOR ADMINISTRATIVE OFFICE holds a designated office symbol number, voucher number and date.
The form names the purchasing office, the purchaser, the vendor and an administrative office.
The agency’s own page for Form SF1094.
The official blank form, to print or fill by hand.
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The footer says it is prescribed by GSA-FAR (48 CFR) 53.229, in the REV. 4/2015 edition. GSA hosts a copy in its forms library.
The back says it will be used to establish the Government's exemption or immunity from State or Local taxes whenever no other evidence is available.
The back says it shall NOT be used for purchase of quarters or subsistence made by employees in travel status, expenses incident to use of a privately owned motor vehicle for which a mileage allowance has been authorized, or merchandise purchased which is subject only to Federal Tax.
The back says to use a separate form for each tax.
The purchaser signs the statement that the information is true and correct to the best of my knowledge and belief. There is also a signature line for the vendor's representative.
The back says the fraudulent use of this form for the purpose of obtaining exception from or adjustment of taxes is prohibited.