Form 51a143 - Purchase Exemption Certificate - Watercraft Industry

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51A143 (3-05)
Exemption Holder’s Name
PURCHASE EXEMPTION CERTIFICATE—WATERCRAFT INDUSTRY
I HEREBY CERTIFY:
That the tangible personal property which I shall purchase from:
Name
Address
will be used principally in the activity of transporting property or in conveying persons for hire and such property is,
therefore, exempt under the provisions of KRS 139.483.
In the event that the property purchased is not used for an exempt purpose, it is understood that I am required to pay
the tax measured by the purchase price of the property.
This is a blanket purchase exemption certificate, valid until revoked in writing by the purchaser or until cancelled by
the Department of Revenue.
Purchaser
Address
DEPARTMENT OF REVENUE
Frankfort, Kentucky 40620
Date

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