Exemption Certificate
Download a blank fillable Exemption Certificate in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Exemption Certificate with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1EXEMPTION CERTIFICATE
TO BE USED BY FEDERAL EMPLOYEES
_____________________________
DATE
_________________________________
SELLING DEALER'S NAME
_________________________________
SELLING DEALER'S ADDRESS
I, the undersigned am an employee of the federal agency identified below. The
purchase or lease of tangible personal property or services or the rental of living
quarters or sleeping accommodations on or after __________ (DATE[S]) from the
business identified above is in pursuit of my employer's affairs. The Government of
the United States either will pay the seller directly or will provide reimbursement to
the employee for the actual cost of the purchase or lease of tangible personal
property, services, or living quarters or sleeping accommodations made on this
date(s).
Under penalties of perjury, I declare that I have read the foregoing and the facts
stated in it are true.
___________________________________
SIGNATURE OF EMPLOYEE
___________________________________
NAME OF FEDERAL AGENCY
___________________________________
ADDRESS OF FEDERAL AGENCY
THIS CERTIFICATE MAY NOT BE USED TO MAKE EXEMPT PURCHASES OR LEASES OF
TANGIBLE PERSONAL PROPERTY OR SERVICES OR RENTAL OF LIVING
ACCOMMODATIONS FOR THE PERSONAL USE OF ANY INDIVIDUAL EMPLOYED BY A
UNITED STATES GOVERNMENTAL AGENCY. PROPER IDENTIFICATION IS REQUIRED
BEFORE THIS CERTIFICATE MAY BE ACCEPTED BY THE SELLER.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial