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Form ST105 State Form 49065 (R5 / 617)Indiana Department of RevenueGeneral Sales Tax Exemption Certificate Indiana registered retail merchants and businesses located outside Indiana may use this certificate.
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How to fill out this exemption certificate

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Read the instructions carefully before filling out the exemption certificate.
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Provide your personal information such as name, address, and contact details.
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Specify the reason for requesting the exemption and provide any supporting documentation if required.
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Sign and date the certificate to certify that the information provided is accurate.

Who needs this exemption certificate?

01
Individuals or businesses seeking exemption from certain taxes or duties may require this exemption certificate.
02
It is typically used by organizations that qualify for tax-exempt status, such as non-profit organizations or government entities.
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This exemption certificate is a document that allows certain individuals or organizations to be exempt from paying certain taxes.
Individuals or organizations that meet certain criteria set by the tax authorities are required to file this exemption certificate.
The exemption certificate must be filled out with accurate information regarding the individual or organization seeking exemption from taxes.
The purpose of this exemption certificate is to provide proof of eligibility for tax exemption to the tax authorities.
The exemption certificate must include information such as the name of the individual or organization, their contact details, and the reason for seeking tax exemption.
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