Exemption Extention Form For Labor, Repair, Maintenance, Sales, And Leases Of Certain Aircraft Page 3

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in it are true.
_________________________
_________________________
Purchaser's Name (Print or Type)
Purchaser's Address
_________________________
_________________________
Signature and Title
Florida Sales and Use Tax No. (if required)
_________________________
_________________________
Date
Federal Employer's Identification No. (if applicable)

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