Sales And Use Tax Manufacturer'S Exemption Certificate Template
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1
2SU07-58
STATE OF RHODE ISLAND
DEPARTMENT OF REVENUE
DIVISION OF TAXATION
SALES AND USE TAX
MANUFACTURER’S EXEMPTION CERTIFICATE
National Grid
N
:______________________________________
___________________
DATE
AME OF SELLER
PO Box 960 Northborough, MA 01532-0960
A
____________________________________________________________
DDRESS OF SELLER
U
, I
NDER PENALTIES OF PERJURY
HEREBY CERTIFY THAT THE PROPERTY HEREIN DESCRIBED IS PURCHASED FOR THE FOLLOWING INDICATED
C
18, S
30 (7)
(22)
R
I
PURPOSE AND IS EXEMPT FROM THE SALES OR USE TAX PURSUANT TO
HAPTER
ECTION
OR
OF THE
HODE
SLAND SALES AND
:
USE TAX LAW
1. [
] T
HE PROPERTY DESCRIBED BELOW IS PURCHASED FOR THE PURPOSE OF BEING MANUFACTURED IN THIS
,
STATE INTO A FINISHED PRODUCT FOR RESALE AND BECOMES A RECOGNIZABLE
INTEGRAL PART OF SUCH
.
FINISHED PRODUCT
2. [
] T
HE PROPERTY DESCRIBED BELOW WILL BE USED IN THIS STATE IN AN INDUSTRIAL PLANT IN THE ACTUAL
,
,
,
MANUFACTURE
CONVERSION
OR PROCESSING OF TANGIBLE PERSONAL PROPERTY
OR TO THE EXTENT
,
USED IN CONNECTION WITH THE ACTUAL MANUFACTURE
CONVERSION OR PROCESSING OF COMPUTER
7371, 7372
7373
SOFTWARE AS THAT TERM IS UTILIZED IN INDUSTRY NUMBERS
AND
IN THE STANDARD
,
,
,
INDUSTRIAL CLASSIFICATION
OFFICE OF STATISTICAL STANDARDS
EXECUTIVE OFFICE OF THE PRESIDENT
U
S
,
,
,
NITED
TATES BUREAU OF THE BUDGET
AS REVISED FROM TIME TO TIME
TO BE SOLD
OR USED IN THE
.
FURNISHING OF POWER TO AN INDUSTRIAL MANUFACTURING PLANT
________________________________________________________________
DESCRIPTION OF PROPERTY :
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
I
, I (
)
F THE TANGIBLE PERSONAL PROPERTY UNDER THIS CERTIFICATE IS USED TO ANY EXTENT IN A TAXABLE MANNER
WE
AGREE TO FILE THE
R
SU 07-58
R
I
.
APPROPRIATE USE TAX RETURNS AS REQUIRED BY
EGULATION
AND THE
HODE
SLAND SALES AND USE TAX LAW
___________________________________________________________
NAME OF PURCHASER
A
P
_______________________________________________________
DDRESS OF
URCHASER
_____________________________________________________
S
_______________________________________________
IGNATURE OF PURCHASER OR AGENT
__________________________
IF CORPORATION GIVE NAME AND TITLE OF CORPORATE OFFICER
:
[
]
CHECK APPLICABLE
SINGLE PURCHASE CERTIFICATE
[
]
BLANKET CERTIFICATE
THIS FORM IS APPROVED BY THE DIVISION OF TAXATION AND MAY BE REPRODUCED
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