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Get GA ST-12B 2020-2024

The signed, notarized copy to your electronic submission. Name of Purchaser Purchaser s Tax Account Number (If Purchaser does not have a tax account number, provide Federal Employer Identification Number or Social Security Number.) Name of Dealer Dealer s Tax Account Number (if known) Dealer s Street Address City State Date of Purchase 1. Invoice No. Gross Amount of Sale Excluding Tax Did you request a tax refund from the Dealer? Zip Code Exempt Portion of Sale Yes Tax Paid.

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