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AFFIDAVIT FOR EXEMPT PURCHASE OF MEDICAL
SUPPLIES
Medical facilities should complete this form and provide to their vendors for tax-exempt purchases.
Purchaser Name Denver Sales Tax License #Purchaser
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How to fill out affidavit for exempt purchase

How to fill out affidavit for exempt purchase
01
Step 1: Read the instructions on the affidavit form carefully
02
Step 2: Fill in your personal information accurately such as full name, address, and contact details
03
Step 3: Provide the details of the exempt purchase, including the name of the seller, date of purchase, and description of the items being purchased
04
Step 4: Attach any supporting documents or proof of exemption if required
05
Step 5: Sign and date the affidavit form
06
Step 6: Submit the completed affidavit to the appropriate authority or vendor as instructed
Who needs affidavit for exempt purchase?
01
Any individual or business entity who wishes to make an exempt purchase may need to fill out an affidavit for exempt purchase. This could include entities that qualify for tax exemptions, such as non-profit organizations, government agencies, or individuals who are eligible for specific exemptions based on their circumstances.
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What is affidavit for exempt purchase?
Affidavit for exempt purchase is a legal document that certifies the buyer is exempt from paying sales tax on a purchase.
Who is required to file affidavit for exempt purchase?
Individuals or businesses that qualify for an exemption from sales tax are required to file an affidavit for exempt purchase.
How to fill out affidavit for exempt purchase?
To fill out an affidavit for exempt purchase, the buyer must provide their name, address, reason for exemption, and signature.
What is the purpose of affidavit for exempt purchase?
The purpose of an affidavit for exempt purchase is to verify that the buyer is exempt from paying sales tax on a purchase.
What information must be reported on affidavit for exempt purchase?
The buyer must report their name, address, reason for exemption, and sign the affidavit.
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