ST-121
Your Business Name
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Your Address - Address
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Your Address - City
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Your Address - State
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Your Address - Zip Code
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Exemption Type
Select the relevant exemption(s) that you are claiming
Exemptions related to production
Machinery and equipment, parts, tools, and supplies used or consumed in the production of tangible personal property for sale or in the production of gas, electricity, refrigeration, or steam, for sale.
Tangible personal property used or consumed inthe production of a film for sale.
Tangible personal property used or consumed inproviding telecommunications or Internet accessservices for sale.
Machinery, equipment, or other tangible personalproperty (including parts, tools, and supplies) usedor consumed by television or radio broadcasters inthe production or transmission of live or recordedprograms which are used by the broadcaster forspecified purposes
Other exemptions
Tangible personal property used in research anddevelopment.
Cartons, containers, and other wrapping andpackaging materials and supplies that are actuallytransferred to the purchaser.
Tangible personal property (including lubricants)used in the services of maintenance, service,repair, or installation performed on any aircraft bysuch person providing such service.
Name and title of owner, partner, or authorized person of purchaser
Signature of owner, partner, or authorized person of purchaser
Today's Date
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Year
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