Form 18-301 - Texas Manufactured Housing Sales And Use Tax Exemption Certification

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18-301
(4-06)
TEXAS MANUFACTURED HOUSING
SALES AND USE TAX EXEMPTION CERTIFICATION
RETAILER CERTIFICATION
The undersigned hereby claims an exemption from payment of the taxes imposed under Texas Tax Code, Chapter 158,
Manufactured Housing Sales and Use Tax Act, for the manufactured home described below.
Manufacturer name
Manufacturer address
City
State
ZIP code
Label/Decal no.
Serial no.
Dimensions
Additional sections of same home.
Label/Decal no.
Serial no.
Dimensions
Label/Decal no.
Serial no.
Dimensions
Retailer name
Retailer address
City
State
ZIP code
Date
The manufactured home is being sold to the purchaser below.
Purchased by
Address of purchaser
City
State
ZIP code
Address where home will be installed
City
State
ZIP code
PURCHASER CERTIFICATION
I certify that the manufactured home described herein is being purchased and will be used in accordance with the exemption
provisions under the Manufactured Housing Sales and Use Tax Act, Sec. 158.101, Texas Tax Code.
Reason for exemption
Typed or printed name
Date

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