Step 5: Identify how you will use the item(s) listed in
Provide the seller's name, address, and phone number on the Step 4 lines provided.
Step 2: Identify the purchaser (lessor)
Provide the purchaser's (lessor's) name, address, phone number, and date of purchase on the lines provided. You must also write the purchaser's identification number on the corresponding line.
Check the appropriate box to indicate how the equipment will be used. You must complete this step if you are submitting this form as a blanket certificate.