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BLANKET CERTIFICATE OF EXEMPTION |
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The undersigned hereby claims exemption to purchases of tangible property from: |
| Name of Vendor: _______________________________________ On and after ____________________ (date) |
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and certifies that this claim is based on the purchaser's proposed use of the items purchased, the activity of the purchaser, or both as shown hereon: |
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________________________________________________________________________________________________ |
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PURCHASER MUST STATE STATUTORY REASON FOR CLAIMING EXEMPTION OR EXCEPTION |
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This certificate shall continue in force until revoked and shall be considered a part of each order given to the above vendor unless the order specifies otherwise. |
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Name of Purchaser: ______________________________ Signature and title:________________________________ |
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Date Signed: _______________________ |
| Purchaser’s Address: _____________________________________________________________________________ |
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City: _________________________ State: _____ Zip: ___________________ |
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Venndors License (if any): __________________________ |
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EXEMPTION(S) OR EXCEPTION(S) |
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The appropriate reason from paragraphs (A) to ® of this rule shall be inserted in the unit or blanket exemption certificate when claiming exemption or exception from the Ohio sale or use taxes. Parenthetical numerals following some of the reasons are references to explanations under paragraph (U) of this rule |
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(A) For resale in the form in which the same is, or is to be, received. |
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(B) For use or consumption:
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