UC Santa Barbara                                Attachment 5170 D
Policies                                             
Issuing Unit:  Administrative Services          Date: January 1, 1986



              TRANSIENT OCCUPANCY TAX EXEMPTION
            CERTIFICATE FOR GOVERNMENTAL AGENCIES
                              
                                        Date:___________________

TO:_____________________________________________
               (Name of Hotel, Motel, etc)

   _____________________________________________
                    (Address)


This is to certify that I, the undersigned, am a representative or
employee of the Governmenatl Agency indicated below; that the charges for
the occupancy at the above establishment on the date(s) set forth below
have been, or will be, paid for by such Governmental Agency; and that
such charges are incurred in the performance of my official duties as a
representative or employee of such Governmental Agency.

Date(s) of Occupancy:

___________________________            _______________________________________
Univeristy of California
(Governmental Agency)                  (Signature of Representative of Employee)

Note:  Operators of hotel, motel, etc., should not accept this
certificate unless the person presenting it shows satisfactory
credentials.

Form UFIN 113

For questions or comments regarding the format of the above information, please contact webcontact@ucsbuxa.ucsb.edu.

Last Modified By: HMW, 5/21/97

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