Jig-Bee Wholesale Application and Vermont Sales Tax Exemption Certificate Form S-3

The following information will be used to complete the Vermont Sales Tax Exemption Certificate Form
PURCHASES FOR RESALE, BY EXEMPT ORGANIZATIONS, AND BY DIRECT PAY PERMIT
32 V.S.A. § 9701(5); § 9743(1)-(3); § 9745
Form S-3
To be filed with the SELLER, not with the Vermont Department of Taxes.
Federal ID Number*
Trading as (i.e. Business Name)
Telephone Number*
Address*
City*
State*
ZIP Code*
Buyers Primary Business (please provide a short description of your business)*
Your Sales and Use Tax Number

(please put "not applicable" if your state does not require you to collect sales tax)
Your State's Two Letter Abbreviation*
Sales Tax and Use Number*
SIGNATURE
I certify that I have read and complied with the instructions provided with respect to the use of this Exemption Certificate. I further certify that the above statements are true, complete, and correct, and that no material information has been omitted.
Signature of Buyer or Authorized Agent*

Clear
Title*
Date*

MonthDayYear
Date
Should be Empty:

Jig-Bee Flower Farm Wholesale Application