Form St-16 - Exemption Certificate For Student Textbooks

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State of New Jersey
ST-16
(10-16)
DIVISION OF TAXATION
SALES TAX
FORM ST-16
EXEMPTION CERTIFICATE FOR STUDENT TEXTBOOKS
(N.J.S.A. 54:32B-8.21)
To be completed by purchaser and given to and retained by seller.
Read instructions on back of this certificate.
____________________________________________________________________
___________________________________
(Name of Seller)
(Date)
____________________________________________________________________
(Address of Seller)
____________________________________________________________________
TITLE OF TEXTBOOKS
PRICE
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
___________________________________________________________________
$ _________________________________
TOTAL PRICE
$ _________________________________
The undersigned hereby certifies that he is exempt from payment of the New Jersey Sales and Use Tax on the above textbook
purchases because:
¨
He is a student in a school, college, university or other educational institution approved as such by the New Jersey
Department of Education; and
¨
The above textbooks have been declared to be required for school purposes by the educational institution.
___________________________________________________
___________________________________________________
(Print - Name of Student)
(Name of School)
___________________________________________________
___________________________________________________
(Print - Address of Student)
(School Address)
___________________________________________________
___________________________________________________
(Signature of Student)
(Student ID #)
MAY BE REPRODUCED

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