Vermont Sales Tax Exemption Certificate
for
Form
S-3F
FUEL OR ELECTRICITY
32 V.S.A. §9741(27), (26), (34)
SELLER,
Buyers
Name
Address
City
State
Zip
Sellers
Name
Address
City
State
Zip
Exemption claimed
A
c
c
c
Portion Exempt
B
c
c
exempt
Signature of Buyer or Authorized Agent
Title
Date
NOTE:
Form S-3F
This form may be photocopied.
Rev. 5/03