Vermont Sales Tax Exemption Certificate
for
Form
MANUFACTURING, PUBLISHING, RESEARCH & DEVELOPMENT,
S-3M
or PACKAGING
32 V.S.A. §9741(14), (15), (16), (24)
SELLER,
c
c
VT Registration
Buyers
Certificate Number
Name
Federal ID
Number
Trading as
Address
City
State
Zip
Buyers Primary
Business
Sellers
Name
Address
City
State
Zip
Exemption claimed
c
c
c
c
Signature of Buyer or Authorized Agent
Title
Date
Form S-3M
This form may be photocopied.
Rev. 5/03