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Tax Exemption Certificate

Home/Tax Exemption Certificate
Tax Exemption Certificatenico2019-05-17T11:24:14-04:00
1 Sales and Use Tax Agreement Certificate of Exemption
2 Certificate of Exemption: Multistate Supplemental
  • This is a multi-state form. Not all states allow all exemptions listed on this form. Purchasers are responsible for knowing if they qualify to claim exemption from tax in the state that would otherwise be due tax on this sale. The seller may be required to provide this exemption certificate (or data elements required on the form) to a state that would otherwise be due tax on this sale.
    The purchaser will be held liable for any tax and interest, and possibly civil and criminal penalties imposed by the member state, if the purchaser is not eligible to claim this exemption. A seller may not accept a certificate of exemption for an entity-based exemption on a sale made at a location operated by the seller within the designated state if the state does not allow such an entity-based exemption.
  • Personal Information


  • If no tax ID number, enter one of the following:

  • Type of Business


    Check the number that descripes your business

  • Reason for Exemption


    Check the letter that identifies the reason for the expemtion.

  • Sign here


    I declare that the information on this certificate is correct and complete to the best of my knowledge and belief.
  • Date Format: MM slash DD slash YYYY
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    *SSUTA Direct Mail provisions are not in effect for Tennessee.
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