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Date: September 25, 2026

TO:


Universal City Development Partners (Universal Orlando Resort)

1000 Universal Studios Plaza, Orlando, FL 32819

First Tax Exempt Organization Name
First Name*
Last Name*
First Tax Exempt Organization Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
First Tax Exempt Organization Signature*
Second Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Third Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Fourth Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Fifth Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Sixth Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Seventh Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Eighth Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Ninth Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Tenth Tax Exempt Organization Name
First Name*
Last Name*
Tax Exempt Organization Date of Birth*
Date of Birth
Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Parent or Guardian's Email Address
Email*
Please upload Florida Consumer’s Certificate of Exemption
*
  
Valid file types: JPG, GIF, PNG, and PDF
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Type of exempt entity (please select one)*
Tax Exempt Organization Name (As Listed on Certificate) *
Doing Business As/Registered Fictious/Organization or School Name:
Address of exempt entity *
City *
State *
zip code *
Certificate Number as shown on the Florida Consumer's Certificate of Exemption: *
Tax Exempt Certificate Effective Date (Select Date) *
Tax Exempt Certificate Expiration Date (Select Date) *
(For Internal Use Only) For Group Sales, please enter Order Number. For Front Gate, please enter the Receipt NODE and TRANS NO (#### : ######)


I, the undersigned, am a representative of the exempt entity identified below. The purchase of tangible personal property or services made on

(EVENT / FIRST DATE OF VISIT) *

from Universal City Development Partners is for use by the exempt entity identified below. The charges for the purchase of tangible personal property or services from the dealer identified above will be billed to and paid directly by the exempt entity.

You can only pay with one form of payment.

Check here IF PAID BY CHECK or ACH/WIRE TRANSFER. Name of bank account holder must match name of EXEMPT ENTITY identified above.
Check here IF PAID BY CREDIT CARD. Please fill the TWO following fields Last Four Digits and Expiration Date.

 If paying by check: enter 0’s for last 4 of credit card and expiration date.  

Last four digits of the credit card number
Expiration Date of the Credit Card (MM-YY))


THIS CERTIFICATE MAY NOT BE USED TO MAKE PURCHASES OF TANGIBLE PERSONAL PROPERTY OR SERVICES FOR THE PERSONAL USE OF ANY INDIVIDUAL REPRESENTING THE EXEMPT ENTITY IDENTIFIED ABOVE. MUST BE FOR OFFICIAL CAPACITY ONLY. (RULE 12A-1.038, F.A.C.)

Further, I understand that when a payment is made with any personal funds, then the purchase is subject to tax, even if I am to be reimbursed with the exempt entity’s funds. I understand that in order for this purchase to be tax exempt, then payment must be made directly from the funds of the exempt entity.

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true.

Electronic Signature Consent *
By checking this box and electronically signing below, I consent to use electronic records and signatures for this form, confirm that I am authorized to sign on behalf of the exempt entity identified above, and intend my electronic signature to have the same legal effect as my handwritten signature.
Parent or Guardian's Signature*
First Tax Exempt Organization Age Acknowledgment*
First Tax Exempt Organization Date of Birth*
Date of Birth
I certify that I am 18 years of age or older


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