Form S-3 - Purchases For Resale And By Exempt Organizations - 2013

Vermont Sales Tax Exemption Certificate

for

Form

PURCHASES FOR RESALE AND BY EXEMPT ORGANIZATIONS

S-3

32 V.S.A. § 9701(5); § 9743(1)-(3)

To be filed with the SELLER, not with the VT Department of Taxes.

Single Purchase - Enter Purchase Price $ __________________



Multiple Purchase (effective for subsequent purchases.)



Federal ID

Buyer’s

Number

Name

Trading as

Address

City

State

Zip

Buyer’s Primary

Business

Seller’s

Name

Address

City

State

Zip

Description

Description of purchased articles: ____________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Basis for Exemption

For resale/wholesale. Vermont Sales & Use Tax Account Number: ______________________



Purchase by 501(c)(3) organization which is religious, educational, or scientific.



Vermont Account Number: ______________________________________________________

Direct payment by Federal or Vermont governmental unit



Purchase by volunteer fire department, ambulance company, rescue squad (Registration is not



required.)

I certify that I have read and complied with the instructions provided with respect to the use of this

Exemption Certificate. I further certify that the above statements are true, complete, and correct,

and that no material information has been omitted.

Signature of Buyer or Authorized Agent

Title

Date

Form S-3

This form may be photocopied.

Rev. 09/13