Vermont Sales Tax Exemption Certificate
for
Form
AGRICULTURAL FERTILIZERS, PESTICIDES, MACHINERY &
S-3A
EQUIPMENT
32 V.S.A. §9741(3) & §9741(25)
To be filed with the SELLER, not with the VT Department of Taxes.
Single Purchase - Enter Purchase Price $ _________________
Multiple Purchase (effective for subsequent purchases.)
Buyer’s
EIN or
Name
SSN
Telephone
Number
Address
City
State
Zip
Seller’s
Name
Address
City
State
Zip
DO NOT list agricultural feeds, seeds, plants, bedding,
baler twine, silage bags, agricultural wrap, liming ma-
Description of Item(s) covered:
terials, livestock and semen, agricultural chemicals
(other than fertilizers and pesticides), or veterinary
supplies. These are exempt products and do not re-
quire an exemption certificate.
NOTE: Nonagricultural equipment which may be used
on a farm for logging, maintenance, construction or
repair of buildings, land clearing, transportation, etc.
is taxable. See Reg. 1.9741(25) for additional infor-
mation.
I certify that the above items will be used directly to produce products for sale on a farm, orchard,
nursery, greenhouse, or similar structure. In the case of agricultural machinery and equipment, I
certify that this use will constitute at least 96% of the total use.
Signature of Buyer or Authorized Agent
Title
Date
The completed certificate should be given to the seller who must retain it for at least three years after any
exempted sale.
Form S-3A
This form may be photocopied.
Rev. 6/04