Form S-3f - Vermont Sales Tax Exemption Certificate For Fuel Or Electricity printable pdf download

Form S-3f - Vermont Sales Tax Exemption Certificate For Fuel Or Electricity

Vermont Sales Tax Exemption Certificate

for

Form

Fuel or Electricity

S-3F

32 V.S.A. §§ 9741(26), (27), (34)

Note for the BUYER: The buyer must read and follow all instructions prior to completing and signing.

The buyer must file the certificate with the seller, not the Department of Taxes.

Note for the SELLER: The seller must retain an exemption certificate for every exempt transaction.

An exemption certificate that is accepted in good faith by the seller relieves the seller of liability for tax due. More information

on multiple purchases and "good faith" can be found in the instructions on page 3 of this form.

To be filed with the SELLER, not with the VT Department of Taxes.

Single Purchase - Enter Purchase Price $ _________________

Multiple Purchases (effective for subsequent purchases)

BUYER

Buyer's Name

SSN or FEIN

Address

Telephone Number

City

State

ZIP Code

SELLER

Seller's Name

Address

City

State

ZIP Code

EXEMPTION

A. Exemption Claimed (check one)

Residential use per 32 V.S.A. § 9741(26)

Please note: Properties zoned as residential do not require a certificate.

Agricultural use per 32 V.S.A. § 9741(27)

Manufacturing use per 32 V.S.A. § 9741(34)

B. Portion Exempt (check one)

All purchases of fuel or electricity qualify (100%).

Part of the fuel or electricity is exempt. The exempt percentage is ___________%

SIGNATURE

I hereby certify that the fuel or electricity to be purchased will be used in the manner indicated above.

Signature of Buyer or Authorized Agent

Title

Date

NOTE: Buyer must provide a completed form to each supplier prior to making purchases

exempt from Vermont Sales and Use tax. A certificate is valid for three years from the date

the buyer has signed or certified it unless it is withdrawn by the buyer. The seller must

Form S-3F

retain the certificate for three years after the date of the last sale covered by the certificate.

Page 1 of 3

Rev. 01/17

This form may be photocopied.

Form S-3f - Vermont Sales Tax Exemption Certificate For Fuel Or Electricity

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