Application For Sales Tax Exemption
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TENNESSEE DEPARTMENT OF REVENUE
APPLICATION FOR SALES TAX EXEMPTION
For Interstate Commerce Motor Vehicles and Trailers
Sales Tax
Dealer/Seller
Registration No.
Invoice No.
Dealer Address
Date of Sale or Lease
If Long Term Lease:
Name of Purchaser
Name of Lessee
Purchaser Address
Lessee Address
If vehicle or trailer is leased, attach a copy of the lease contract.
Description of the Motor Vehicle or Trailer
Semi-Tractor
Truck
Trailer
Make
Model
Year
Serial
Motor
Number
Number
New
Used
Sales
Trade-In
Amount
Price
Allowance
Paid
Gross Vehicle Weight Rating Class
Lbs.
(not applicable to trailers)
(Regardless of their use, vehicles smaller than Class 3 (16,000 lbs., or less) are not exempt from sales and use tax.)
YES/NO (circle one) The motor vehicle or trailer will be used to transport passengers or cargo principally (more than 50%) in
interstate or foreign commerce pursuant to Tenn Code Ann. Section 67-6-331.
(If the answer to this question is no, the exemption does not apply).
Check the Applicable Boxes
The motor vehicle or trailer described above will be registered in the International Registration Program (attach copy);
or
The carrier has an Operating Authority/Permit issued by the Interstate Commerce Commission, Federal Highway
Administration or the Federal Motor Carrier Safety Administration (attach copy); or
The motor vehicle or trailer will be used to transport exempt commodities as defined by federal law.
I understand that falsification of this document for the purpose of tax exemption may be considered fraud and is punishable by
law.
PURCHASER’S SIGNATURE
DATE
This application for exemption must be prepared and executed in triplicate by the dealer/seller and purchaser at the time of the
sale of the motor vehicle or trailer. The original must be retained by the dealer/seller to substantiate the exemption claimed on
its Sales and Use Tax return. The purchaser should retain a copy with the application for title and the title after it is issued. A
copy must accompany the application for title and must be submitted to the Vehicle Services Division, Tennessee Department
of Revenue, 44 Vantage Way, Suite 160, Nashville, Tennessee 37243-8050.
Do not mail this form to the Tennessee Department of Revenue.
RV-F1300401 (Rev. 8-12)
Internet (8-12)
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