Form S-244 - Certificate Of Previous Purchases

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CERTIFICATE OF PREVIOUS PURCHASES
I hereby certify that during the period _____________________________ through ____________________________,
the
tangible
personal
property
or
taxable
services
listed
below
were
purchased
by
me
from
______________________________________________________________ for resale under Wisconsin Seller's Permit
No. __________________, or were for a use specifically exempted by the Wisconsin sales and use tax law:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
_______________________________________________________________________________________
If the tangible personal property or taxable services listed above were not resold but were used in some other exempt
manner, explain the exempt manner here: ______________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
(The kind of property or services purchased and a description of their exempt use must be provided otherwise this certificate may be deemed invalid.
See the back of this form for further details.)
I further certify that during the period covered by this certificate, I was engaged in the business of
_______________________________________________________________________________________
_______________________________________________________________________________________
(T
B
A
-M
O
, T
,
.)
YPE OF
USINESS
CTIVITY
AIL
RDER
AVERN
ETC
P
'
B
N
A
:
URCHASER
S
USINESS
AME AND
DDRESS
P
'
T
N
(I
, P
C
):
URCHASER
S
RUE
AME
NDIVIDUAL
ARTNERSHIP OR
ORPORATION
P
'
A
C
P
N
:
URCHASER
S
REA
ODE AND
HONE
UMBER
(
)
-
I
I
,
,
DECLARE UNDER PENALTIES OF LAW THAT
AM AUTHORIZED TO SIGN THIS CERTIFICATE
HAVE READ AND EXAMINED IT
AND THAT THE
.
DECLARATION CONTAINED HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF
P
'
S
:
T
:
D
:
URCHASER
S
IGNATURE
ITLE
ATE
Wisconsin Department of Revenue
S-244 (R.3-97)
Income, Sales & Excise Tax Division

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