Certificate Of Exemption Form
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1CERTIFICATE OF EXEMPTION
The undersigned certifies that its purchases are exempt from the South Dakota Sales or Use tax and none of the
purchases of tangible personal property or services for personal use of a member of employee.
DESCRIPTION OF PURCHASE
DATE OF PURCHASE
NAME OF ORGANIZATION
EXEMPTION NUMBER
SIGNATURE AND TITLE OF OFFICER
ANY PERSON UNLAWFULLY ISSUING OR SIGNING THE ABOVE CERTIFICATE WITH INTENT TO
EVADE THE TAX WILL BE SUBJECT TO PENALTIES AS PROVIDED BY LAW.
THE BURDEN OF PROOF IS UPON THE SELLER TO DETERMINE WHETHER OR NOT THE BUYER IS
EXEMPT AS PROVIDED BY LAW FROM PAYMENT OF THE TAX WHICH THIS CERTIFICATE IS ISSUED.
SD REV ST111 5C 10-97 JB
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Parent category: Financial