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4 SEE REVERSE SIDE FOR INSTRUCTIONS AND IMPORTANT INFORMATION Initial Issuance of Certificate of Exemption - Complete Sections A through D and sign in Section F. Replacement of Certificate Card - Complete Sections A, C, E, F or G (if applicable) without Exemption Sticker. FEE: $6 A Replacement of Exemption Sticker - Complete Sections A, C, D, E, F or G (if applicable). FEE: $6 APPLICANT(S) INFORMATION B FARM/AGRICULTURAL BUSINESS INFORMATION List individual, business or corporation name a.

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