(Sales, Use, Tourism and Motor Vehicle Rental Tax)
Name of business or institution claiming exemption (purchaser)
Name (please print)
Name of Seller or Supplier:
The person signing this certificate MUST check the applicable box showing the basis for which the exemption is being claimed.
Questions should be directed (preferably in writing) to Taxpayer Services, Utah State Tax Commission, 210 N 1950 W, Salt Lake City, UT 84134.
Telephone (801) 297-2200, or toll free 1-800-662-4335.
DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION
Keep it with your records in case of an audit.
For purchases by government, Native American tribes and public schools, use form TC-721G.
EXEMPTION INCLUDES REUSABLE PREPRESS MATERIALS
RESALE OR RE-LEASE
Sales Tax License No. ___ _ ____ _ __ __ ___
I certify I am a dealer in tangible personal property or services that
are for resale or re-lease. If I use or consume any tangible personal
property or services I purchase tax free for resale, or if my sales are
of food, beverages, dairy products and similar confections
dispensed from vending machines (see Rule R865-19S-74), I will
report and pay sales tax directly to the Tax Commission on my next
sales and use tax return.
Please use the form provided by FlexTech. This check box is
unique to this form.
If you qualify to be tax exempt from reusable prepress materials
that remain in our facility, then please select this box
• A sales tax license number is required only where indicated.
• NOTE TO SELLER:
• NOTE TO PURCHASER