Form St-6 - Certificate For Out Of State Delivery By The Seller Using Seller'S Vehicle

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ST-6 (rev 06/2014)
Department of Revenue
1800 Century Blvd, N.E.
Atlanta, GA 30345
1-877-423-6711
Certificate for Out of State Delivery by the Seller using Seller’s Vehicle
(Please Print)
NAME OF SELLER
DATE
ADDRESS OF SELLER
NAME OF OUT OF STATE PURCHASER
ADDRESS OF PURCHASER
DESCRIPTION OF TANGIBLE PERSONAL PROPERTY PURCHASED
TOTAL SALES PRICE $
Under penalties of perjury, the undersigned purchaser and seller, hereby certify 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
Signature
Signature
Printed Name
Printed name
Seller must maintain a copy of properly executed certificate of exemption for audit purposes.

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