Form Rv-F1303901 - Tennessee Sales Or Use Tax Certificate Of Exemption

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TENNESSEE DEPARTMENT OF REVENUE
TENNESSEE SALES OR USE TAX CERTIFICATE OF EXEMPTION
For Rural Electric Cooperatives, Community Services Cooperatives
and Governmental Utility Districts
TO:
Vendor's Name
Vendor's Address
I,
, an authorized representative of :
(NAME)
(ADDRESS)
do hereby certify the tangible personal property or taxable services provided by the vendor named above are being purchased for use
and consumption by the named Rural Electric Cooperative, Community Service Cooperative, or Governmental Utility District organized
and created under the applicable laws of the State of Tennessee.
I understand that falsification of this document with the intent to evade the lawful tax may be punishable as provided by the
Tennessee Code Annotated.
TITLE
NAME
Please print
DATE
SIGNATURE
This certificate of exemption may be used by Rural Electric and Community Service Cooperatives organized under the provisions of
Sections 65-25-201, et seq., of the Tennessee Code Annotated, and Utility Districts organized under the provisions of Sections 7-82-
101, et seq., of the
Tennessee Code Annotated, or Private Acts of the Tennessee General Assembly.
direct purchases by the named organizations. Direct billings for goods and services made to
CAUTION: This is intended for use only for
contractors or other representatives of Rural Electric Cooperatives, Community Service Cooperatives, and Governmental Utility Districts
are not covered by this exemption certificate.
INTERNET (2-08)
RV-F1303901

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