Form St-17 - Sales And Use Tax Certificate Of Exemption - Commonwealth Of Virginia
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1Form ST-17
COMMONWEALTH OF VIRGINIA
SALES AND USE TAX CERTIFICATE OF EXEMPTION
For use by harvesters of forest products
To ____________________________________________________________ Date _____________________________
Name of Supplier
________________________________________________________________________________________________
Number and Street or Rural Route
City, Town, or Post Office
State
Zip Code
Va. Code § 58.1-609.2(6) provides that the Virginia retail sales and use tax shall not apply to the purchase of machinery or
tools and repair parts therefor or replacements thereof, fuel, power, energy or supplies used DIRECTLY in the harvesting of
forest products for sale or for use as a component part of a product to be sold.
The tax shall not apply to purchases of machinery and tools for use by a harvester to (i) obtain access to the harvest site,
(ii) remove timber or other forest products from the harvest site, (iii) load cut timber or other forest products onto highway
vehicles for transportation to storage or processing facilities, and (iv) comply with environmental protection and safety
requirements applicable to the harvesting of forest products.
The undersigned harvester hereby certifies that all machinery or tools and repair parts therefor or replacements thereof,
fuel, power, energy or supplies will be purchased or leased for use in the harvesting of forest products for sale or for use as
a component part of a product to be sold.
Virginia Account
Name of Harvester ________________________________________
No., if any . ____________________________
Trading As ______________________________________________________________________________________
Address ________________________________________________________________________________________
Number and Street or Rural Route
City, Town, or Post Office
State
Zip Code
Kind of business engaged in by purchaser
_____________________________________________________________________
I declare that I am authorized to sign this Certificate of Exemption and that, to the best of my knowledge and belief, it is true
and correct, made in good faith, pursuant to the Virginia Retail Sales and Use Tax Act.
By
__________________________________________________________
___________________________________________
Signature
Title
If the purchaser is a corporation, an officer of the corporation or other person authorized to sign on behalf of the corporation
must sign; if a partnership, one partner must sign; if an unincorporated association, a member must sign; if a sole
proprietorship, the proprietor must sign.
Information for Virginia Supplier-A supplier is required to have on me only one Certificate of Exemption properly executed
by each purchaser buying tax exempt tangible personal property under this Certificate.
RETAIN THIS DOCUMENT FOR YOUR RECORDS. DO NOT SEND TO THE TAX DEPARTMENT.
Va. Dept. of Taxation
ST-17 W
6201065
Rev. 04/16
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