Consider what a Department-level form is for. DD Form 2058-1 — State Income Tax Exemption Test Certificate — was established to State Income Tax Exemption Test Certificate, and it was placed in the DD sequence because the underlying transaction occurs throughout the Defense establishment in substantially the same shape. Standardizing the record was cheaper and more reliable than letting six services each design their own.
This is why the arrangement matters to you rather than only to the archivists. not stated governs the form throughout the Department, with not stated as the responsible office, so the record you create is legible outside your own component. Joint assignments, agency details and cross-service transactions all depend on that: the paperwork does not have to be reconstructed each time it crosses a boundary.
You are looking for edition not stated, listed as not stated. Department-wide supersession is a single event rather than a rollout, which is what distinguishes edition currency on a DD form from the same question on a service publication: nobody anywhere is still accepting the previous version out of habit.
Work down the page in the printed order, and understand why the order exists. The identifying block establishes whose record this is and under what circumstances it arises. The body of the form then answers questions that are only meaningful once that context is fixed. The signature block comes last because a certification signed before the entries are complete certifies nothing.
Before the first entry, compare the date printed on the form face with not stated. This is not bureaucratic fussiness. Editions change field numbering, and a receiving office working from the current layout may look for information where your copy does not put it. On a Department form the exposure is wider than usual: your record may be reviewed by an office in another service entirely, one with no reason to remember what the previous edition looked like.
Leave nothing empty. Where an item genuinely does not apply, N/A is the correct entry, because the record must distinguish between a question that was answered in the negative and a question that was never reached. An empty box carries no information about which happened. Date fields deserve particular care on a Department form, since the reviewer may write dates by a convention different from yours; use the format the form itself specifies.
Where the form collects personal identifiers, a Privacy Act Statement accompanies it, and its placement is meaningful. The statute requires disclosure at the point of collection — authority, purpose, routine uses, and the consequence of declining — so that the person supplying the information does so knowing what becomes of it. Reading it after you have filled the fields inverts the arrangement entirely.
The signature converts entries into an attestation, and that is why its form is prescribed. Ink, or a digital signature carrying a credential that identifies the signer — commonly issued on a Common Access Card. Typed characters in the box satisfy neither standard, because the whole value of a signature lies in being difficult to produce on someone else's behalf. Date it as you sign; an undated attestation cannot be placed in the sequence of events.
Recurring defects have a pattern to them, and it is mostly the pattern of a record that cannot be relied on: an edition that does not match, gaps that cannot be interpreted, entries that cannot be read after scanning, dates that could mean two things, and a certification nobody executed. For an ambiguous field, read the form's own instruction, then not stated, which controls.
Download the form
Formats available: PDF, across 1 pages and about 38 fields. That several formats coexist is a consequence of scale — the Department cannot standardize the software on every desk that needs this form, so it standardizes the document instead.
The difference between a fillable and a printable pdf is a difference in what the file contains. A fillable release carries an interactive layer: each box is a defined field with a name and a data type, and what you type is stored as data inside the document. A printable release has no such layer — it is an image of the page, and the only place your answers can go is onto paper. The distinction matters downstream, because a Department record often gets scanned and forwarded several times before it reaches its final file, and typed characters survive that chain in a way pen strokes do not.
What the form asks for
- Cell1
- Cell2
- Cell3
- CurrentPage
- DesignApllication_version
- Draft
- Footer
- FormNumber_Date
- Frame
- HeaderRow
- Needs_DD67
- PAS
- Page1
- PageCount
- Pages
- PrintButton
- ResetButton
- Row1
- Row2
- Sample
- SaveButton
- Screen_Buttons
- SecessionNotice
- State
Submission follows not stated and whatever local instruction supplements it. Make a copy before the original leaves. Department forms travel across organizational lines by design, and the administrative distance that makes them useful is the same distance that makes tracing a lost one difficult.
Forms referenced inside this one are located by number alone, and that simplicity is a direct product of Department-level numbering. Because the DD sequence is maintained centrally and not duplicated by service, a number is a complete address: one number, one document, throughout the Defense establishment.
Procedures that touch both Department and service processes will cite forms from both sequences, and the coincidence of numbers between them is exactly that — coincidence. An Army proponent maintains the DA series for the Army; not stated or another Department office maintains the DD series for the whole Department. Two independent registries, two independent numbering runs, no correspondence at any value.
A form is downstream of the policy that requires it, and revision usually starts there: a directive is reissued, a collection requirement is altered, notice language is updated by statute. The form is republished as a consequence. Since none of that reaches individual users, an archived copy quietly becomes wrong, and verifying not stated each time you download is the whole remedy.
The role of this page is narrow and worth stating plainly. It makes a published Defense form available and explains its structure. It does not advise, does not interpret policy for your circumstances, and cannot indicate how any office will treat a completed copy — those judgments rest with the authorities that own the process. Direct such questions to not stated, to the administrative office that services you, or to the authority named in not stated.
Questions and answers
- What is DD Form 2058-1?
- State Income Tax Exemption Test Certificate
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?