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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.

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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