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SD EForm - 1932

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South Dakota

Streamlined Sales Tax Agreement

Certificate of Exemption

Warning to purchaser:

This is a multi-state form. Not all states allow all exemptions listed on this form. Purchasers are responsible for knowing if

they qualify to claim exemption from tax in the state that is due tax on this sale. The state that is due tax on this sale will be

notified that you claimed exemption from sales tax. You will be held liable for any tax and interest, as well as civil and criminal penal-

ties imposed by the member state, if you are not eligible to claim this exemption. Sellers may not accept a certificate of exemption

for sales sourced within the state if the reason for exemption does not apply in that state.

Enter the two-letter abbreviation for the state under whose laws you are claiming exemption.

Check one:

Single purchase certificate. Relates to invoice/purchase order #_________________________.

Blanket certificates. If checked, this certificate continues in force until cancelled by the purchaser.

Name of purchaser

Business address

City

State

Zip code

Purchaser’s tax ID number

State of Issue

County of Issue

If no tax ID number,

FEIN

Driver’s license number/State Issued ID number

Foreign diplomat number

enter the following:

state of issue

number

Name of seller from whom you are purchasing, leasing or renting

Seller’s address

City

State

Zip code

Type of business. Circle the number that describes your business.

01 Accommodation and food services

11 Transportation and warehousing

02 Agriculture, forestry, fishing, hunting

12 Utilities

03 Construction

13 Wholesale trade

04 Finance and insurance

14 Business services

05 Information, publishing and communications

15 Professional services

06 Manufacturing

16 Education and health-care services

07 Mining

17 Nonprofit organization

08 Real estate

18 Government

09 Rental and leasing

19 Not a business

10 Retail trade

20 Other (explain)

Reason for exemption. Circle the letter that identifies the reason for the exemption.

Federal government (department)

Agricultural production

State or local government (name)

Industrial production/manufacturing #

Tribal government (name)

Direct pay permit #

Foreign diplomat #

Multiple points of use (services, digital goods, or

Charitable organization #

computer software delivered electronically)

Religious or educational organization #

Direct mail #

Resale #

Other (explain)

I declare that the information on this certificate is correct and complete to the best of my knowledge and belief.

Signature of authorized purchaser

Print name here

Title

Date

PRINT FOR MAILING

CLEAR FORM

Form 1932 V1 - Certificate Of Exemption - South Dakota Streamlined Sales Tax Agreement

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