Form St-6 - Certificate Of Exemption - Out Of State Delivery

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ST-6 (REV 12-01)
State of Georgia
Department of Revenue
Taxpayer Services Division
1800 Century Boulevard, NE, Ste. 8200
Atlanta, Georgia 30345-3205
Telephone: (404) 417-6601
CERTIFICATE OF EXEMPTION -- OUT OF STATE DELIVERY
Clear Form
MM/DD/YY
TRADE NAME OF SELLER
DATE
ADDRESS OF SELLER
NAME OF PURCHASER
ADDRESS OF PURCHASER
Tangible Personal Property Description:
Total Sales Price
AFFIDAVIT FOR OUT OF STATE DELIVERY
State of __________________________
County of _____________________________
The undersigned purchaser and seller or representative thereof, hereby certifies that the above tangible
property will be delivered by the seller or employee of the seller outside the State of Georgia and the
information contained herein is true and correct.
Purchaser___________________________________
Seller ______________________________
By_________________________________________
By ________________________________
Out Of State Customers -- Please Complete This Form

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