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I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser Print Name Here Title Date SSTGB Form F0003 Exemption Certificate 5/10/11 Multi-state Supplemental STATE Identification Number If Required AR GA IA IN KS KY MI MN ND NE NJ NV OH OK RI SD TN VT WA WI WV SSUTA Direct Mail provisions are not in effect for Tennessee. Certificate of Exemption Streamlined Sales and Use Tax Agreement This is a...

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