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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.

Name of Exempt Institution Name of Vendor Address CAUTION TOSELLER: This certifi cate cannot be issued or used in any way by a construction contractor to purchase property to be used in fulfi lling a contract with an exempt institution. Sellers accepting certifi cates for such purchases will be held liable for the sales or use tax.

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