Form E-599c Purchaser'S Affidavit Of Export North Carolina Department Of Revenue printable pdf download

Form E-599c Purchaser'S Affidavit Of Export North Carolina Department Of Revenue

E-599C

North_Carolina_Department_of_Revenue

Sales_and_Use_Tax_Division

Web

1-09

Post Office Box 25000

Raleigh, North Carolina 27640

Purchaser’s Affidavit of Export

To be executed in connection with purchases of tangible personal property from North Carolina vendors for export

to and exclusive use and consumption in foreign countries. The certificate is not valid in connection with purchases

of property acquired for personal use or consumption, including gifts.

(See instructions on reverse side)

To_ _ ______________________________________________________________________________________________

(Name of Vendor)

_________________________________________________________________________________________________

(Address of Vendor)

________________________________________________________________ _,__ _ ______________________________

(Name of Affiant)

(Title, if applicable)

having_been_duly_sworn,_declares_under_oath_that_ _________________________________________________________

(Name of Vendee)

______________________________________________________________________________________________ has

(Address of Vendee)

purchased from the above-named vendor the tangible personal property identified below and that said property is purchased

solely_for_the_purpose_of_export_to______________________________________ for_exclusive_use_or_consumption_in_that_

(Name of Foreign Country)

or_some_other_foreign_country,_either_in_the_direct_performance_or_rendition_of_professional_or_commercial_services_or_in_the_

direct_conduct_or_operation_of_a_trade_or_business,_or_is_purchased_by_the_government_of_a_foreign_country_for_export.__The_

vendee_acknowledges_that_if_the_aforesaid_purpose_is_not_consummated,_the_vendee_shall_be_liable_for_the_tax_which_would_

otherwise_have_been_due_at_the_time_of_sale,_plus_applicable_interest_and_penalties_for_nonpayment_of_the_tax.

Identification of Property Purchased:

Purchase_order_number_or_purchase_contract_number.__(If_no_purchase_

order_ or_ purchase_ contract_ was_ issued,_ attach_ an_ itemized_ list_ of_

property as part of this certificate.)

This_________day_of_ _ _______________________ , 20________.

Affiant

Sworn_to_and_subscribed_before_me

this__________day_of_ _ _______________________ , 20________.

Notary_Public

(affix seal)

My commission expires:

Form E-599c Purchaser'S Affidavit Of Export North Carolina Department Of Revenue