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Important—Certifi cate not PURCHASE EXEMPTION valid …

EXEMPTION Number Name of Exempt Institution PURCHASE EXEMPTION Check Applicable Block Important Certificate not Blanket . valid unless completed . CERTIFICATE Single PURCHASE . I hereby certify that _____ is a kentucky resident, nonprofit educational, charitable or Name of Exempt Institution religious institution, or kentucky historical site, located at _____, kentucky and that the tangible personal property, digital property or services to be purchased from _____. Name of Vendor _____. Address will be used solely within the exempt function of a charitable, educational or religious institution, or historical site. Description of property to be purchased: _____. _____. In the event that the property purchased is not used for an exempt purpose, it is understood that I am required to pay the tax measured by the PURCHASE price of the property. Any official or employee who uses this certificate to make tax-free purchases for his own personal use or that of any other person will be subject to the penalties provided in KRS and other applicable laws.

valid unless completed. PURCHASE EXEMPTION CERTIFICATE Check Applicable Block Blanket Single Purchase I hereby certify that _____ is a Kentucky resident, nonprofi t educational, charitable or religious institution, or Kentucky historical site, located at _____, Kentucky and that the tangible

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