Minnesota Certification Exemption

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ST3
Certificate of Exemption
Purchaser: Complete this certificate and give it to the seller. Do not send to the Department of Revenue.
Seller: Keep this certificate as a part of your records. If this certificate is not fully completed, you must charge tax.
Check one
Single purchase certificate
Blanket certificate
(if checked, this certificate continues in force until cancelled by the purchaser)
Name of purchaser’s business or organization
Business address
City
State
Zip code
Purchaser’s state tax ID number
State of issue
If no number, give reason
Name of seller from whom you are purchasing, leasing or renting
Seller’s address
City
State
Zip code
Describe the nature of your business or organization. Include a description of the items normally sold in your business,
if applicable.
Describe the items for which you are claiming exemption.
Circle the exemption reason code. Enter the number or title where applicable.
Code
Description
A
Agricultural or industrial production.
B
Direct pay. Enter DP#
C
Exempt organization. Enter ES# or type of group
D
Motor carrier direct pay. Enter MCDP#
E
Multiple points of use.
F
Percentage exemption.
Advertising (enter percentage)
%
Utilities (enter percentage)
%
G
Resale.
H
Resource recovery facility. Enter CN#
I
Other. Enter title
I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. (PENALTY—If you
try to evade paying sales tax by using an exemption certificate for items or services that will be used for purposes other than those
being claimed, you may be fined $100 under Minnesota law for each transaction for which the certificate is used.)
Signature of authorized purchaser
Print name here
Phone
Date
(
)
If you have questions, call 651-296-6181. TTY: Call 711 for Minnesota Relay.
Forms and fact sheets are available on our website at

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