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APPLICATION FOR SALES TAX EXEMPTION For Interstate ...

TENNESSEE DEPARTMENT OF REVENUEAPPLICATION FOR SALES TAX EXEMPTIONFor Interstate Commerce Motor Vehicles and TrailersDealer/SellerDealer AddressName of PurchaserSales TaxRegistration of Sale or LeaseIf Long Term Lease:Name of LesseeLessee AddressPurchaser AddressIf vehicle or trailer is leased, attach a copy of the lease of the Motor Vehicle or TrailerTruckSemi-TractorTrailerMakeSeria lNumberSalesPriceModelMotorNumberTrade-I nAllowanceYearNewUsedAmountPaidGross Vehicle Weight Rating ClassLbs.(Regardless of their use, vehicles smaller than Class 3 (16,000 lbs., or less) are not exempt from SALES and use tax.)

Administration or the Federal Motor Carrier Safety Administration (attach copy); or The motor vehicle or trailer will be used to transport exempt commodities as defined by federal law. I understand that falsification of this document for the purpose of tax exemption may be considered fraud and is punishable by law.

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  Administration, Seal, Exemption, Tax exemption, Sales tax exemption

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Transcription of APPLICATION FOR SALES TAX EXEMPTION For Interstate ...

1 TENNESSEE DEPARTMENT OF REVENUEAPPLICATION FOR SALES TAX EXEMPTIONFor Interstate Commerce Motor Vehicles and TrailersDealer/SellerDealer AddressName of PurchaserSales TaxRegistration of Sale or LeaseIf Long Term Lease:Name of LesseeLessee AddressPurchaser AddressIf vehicle or trailer is leased, attach a copy of the lease of the Motor Vehicle or TrailerTruckSemi-TractorTrailerMakeSeria lNumberSalesPriceModelMotorNumberTrade-I nAllowanceYearNewUsedAmountPaidGross Vehicle Weight Rating ClassLbs.(Regardless of their use, vehicles smaller than Class 3 (16,000 lbs., or less) are not exempt from SALES and use tax.)

2 Check the Applicable BoxesThe motor vehicle or trailer described above will be registered in the International Registration Program (attach copy);orThe carrier has an Operating Authority/Permit issued by the Interstate Commerce Commission, Federal HighwayAdministration or the Federal Motor Carrier Safety administration (attach copy); orThe motor vehicle or trailer will be used to transport exempt commodities as defined by federal understand that falsification of this document for the purpose of tax EXEMPTION may be considered fraud and is punishable not mail this form to the Tennessee Department of (Rev.)

3 8-12)(not applicable to trailers)YES/NO (circle one) The motor vehicle or trailer will be used to transport passengers or cargo principally (more than 50%) ininterstate or foreign commerce pursuant to Tenn Code Ann. Section 67-6-331.(If the answer to this question is no, the EXEMPTION does not apply).PURCHASER S SIGNATUREDATEThis APPLICATION for EXEMPTION must be prepared and executed in triplicate by the dealer/seller and purchaser at the time of thesale of the motor vehicle or trailer. The original must be retained by the dealer/seller to substantiate the EXEMPTION claimed onits SALES and Use Tax return.

4 The purchaser should retain a copy with the APPLICATION for title and the title after it is issued. Acopy must accompany the APPLICATION for title and must be submitted to the Vehicle Services Division, Tennessee Departmentof Revenue, 44 Vantage Way, Suite 160, Nashville, Tennessee (8-12)


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