STATE OF VERMONT DEPARTMENT OF TAXES 109 STATE STREET MONTPELIER, VERMONT 05609-1401 RESALE AND EXEMPT ORGANIZATION CERTIFICATE OF EXEMPTION TITLE 32, 9707(5); 9743(1-3) Supplier's Name (Street) ( ) Single Purchase ( ) Multiple Purchases - Enter Purchase Price: Description
(City, Town or PO)
(State and Zip)
of purchased articles:
( ) Purchase by Retailer or Wholesaler for Resale
Check applicable blocks
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