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Form S-3a - Vermont Sales Tax Exemption Certificate For Agricultural Fertilizers, Pesticides, Supplies, Machinery & Equipment - 2016

Vermont Sales Tax Exemption Certificate

for

Form

Agricultural Fertilizers, Pesticides, Supplies,

S-3A

Machinery & Equipment

32 V.S.A. §§ 9741(3), 9741(25) and Reg. 1.9741(3), 1.9741(25)

Note for the BUYER: The buyer must read and follow all instructions on page 3 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.

Purchases of machinery and equipment require a certificate for every individual purchase. Multiple purchases of the same

agricultural supplies not typically used in agriculture or the same fertilizer and pesticides may use the same certificate by

marking the appropriate checkbox. 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.

BUYER

Buyer's Name

Farm Name (if applicable)

SSN or FEIN

Address

Telephone Number

City

State

ZIP Code

SELLER

Seller's Name

Address

City

State

ZIP Code

AGRICULTURAL MACHINERY & EQUIPMENT (including parts)

NOTE: You must complete a certificate for each purchase of machinery or equipment.

This exemption is based on how the product is used. Please explain exactly how the product will be used.

Item Purchased

Serial Number (if applicable)

Date

Price

Describe how the item will be used

 MULTIPLE PURCHASES Check this box if you anticipate multiple purchases of parts for the exempt machinery or

equipment listed in this section. You do not have to submit a new exemption certificate for future purchases. However,

the purchase of parts for different exempt machinery or equipment requires a separate exemption certificate.

The exemption certificate must be renewed every three years.

(continued on next page)

Form S-3A

Page 1 of 4

Rev. 07/16

This form may be photocopied.

Form S-3a - Vermont Sales Tax Exemption Certificate For Agricultural Fertilizers, Pesticides, Supplies, Machinery & Equipment - 2016

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