Tax Exempt Info - Sandhill Select Horses LLC

Sale Invoice Number

Buyer Name *

First

Last

Buyer Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Tax exempt

https://revenue.nebraska.gov/files/doc/tax-forms/f_13.pdf

NEBRASKA FORM 13 Please complete this form OR the appropriate form for our state. You may copy or snapshot, and upload below*

*File Upload (Your completed State Tax Exempt Form and ID)

Click or drag files to this area to upload. You can upload up to 4 files.

I hereby certify that the purchase, lease, or rental by the above purchaser is exempt from State sales tax for the following reason (check one): *

Purchase for Resale (Complete Section A.)
Exempt Purchase (Complete Section B.)
Contractor (Complete Section C.)

I further certify that we are engaged in business as a (select one) *

Wholesaler
Retailer
Manufacturer
Lessor

I hereby certify that the purchase, lease, or rental of the horse from the seller listed on attached invoice is exempt from State sales tax as a purchase for resale, rental, or lease in the normal course of our business. The property or service will be resold either in the form or condition in which it was purchased, or as an ingredient or component part of other property or service to be resold. My STATE and Sales Tax ID number is:

List your STATE and Sales Tax ID number

The basis for my exemption is

please list (for example Commercial Agriculture, or Sales for ReSale)

My State AND State Exempt number is:

File Upload - Attach copy or snapshot of Sale Invoice here

Click or drag files to this area to upload. You can upload up to 2 files.

Signature

Any purchaser, agent, or other person who completes this certificate for any purchase which is not for resale, lease, or rental in the regular course of the purchaser’s business, or is not otherwise exempted from sales and use taxes is subject to a penalty of $100 or ten times the tax, whichever amount is larger and whatever the State determines is the appropriate penalty, for each instance of presentation and misuse. With regard to a blanket certificate, this penalty applies to each purchase made during the period the blanket certificate sign is in effect. Under penalties of law, I declare that I am authorized to sign and to the best of my knowledge and belief, it is correct and complete.

Date / Time

Date

Time