Streamlined Sales And Use Tax Agreement Page 2
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2Streamlined Sales and Use Tax Agreement
Name of Purchaser
STATE
AR
GA
IA
IN
KS
KY
MI
MN
NC
ND
NE
NJ
NV
OH
OK
RI
SD
TN
UT
VT
WA
WI
WV
Reason for Exemption
SSUTA Direct Mail provisions are not in effect for Tennessee.
Certificate of Exemption
Multi-state Supplemental
Identification Number (If Required)
The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail
provisions do not ap,._pl_,_y_in_th_e.:...cse-' s ' " "ta.:.ctec..:s-' - . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
WY
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
SSTGB Form F0003
Exemption Certificate (5/10/11)
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Parent category: Financial