Nc Sales Tax Exemption Form

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NC Sales and Use Tax License
>>EXEMPTION CERTIFICATION STATEMENT<<
State of North Carolina
This is to certify
that_________________________________________________________
qualifies for an EXEMPTION from the
licensing
NC Sales and Use Tax
requirements as stated in NORTH CAROLINA GENERAL STATUTES, Section
105-53 for the following reason(s):
{Check all that apply}
_____ I sell farm or nursery products that are produced by me.
_____ I sell crafts or goods made by me, or my own household personal property.
_____ I am a nonprofit charitable, educational, religious, scientific, or civic
organization.
_____ I sell printed material, wood for fuel, ice, seafood, meat, poultry, livestock,
eggs, dairy products, bread, cakes, or pies.
_____ I am an authorized automobile dealer licensed pursuant to Chapter 20
of the North Carolina General Statutes.
Signed the ______day of ______________________, 20__
______________________________
Printed Name
_______________________________
Signature
This information is required by the NC Department of Revenue
Taxexemptcert.doc

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