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Made under this certificate from: (Vendor s name) and certifies that the claim is based upon the purchaser s proposed use of the items or services, the activity of the purchase, or both, as shown hereon: Purchaser must state a valid reason for claiming exception or exemption. Purchaser s name Purchaser s type of business Street address City, state, ZIP code Signature Title Date signed Vendor s license number, if applicable Vendors of motor vehicles, titled watercraft and titled out.

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Related links form

2025 Form 2350 (sp). Application For Extension Of Time To File U.S. Income Tax Return (Spanish Form W-4V (Rev. January 2026) IRS Form 1040 Schedule FForm Guide Form 1040 Instructions, Step 5, Earned Income Worksheet ...

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