Nebraska Resale or Exempt Sale Certificate for Sales Tax Exemption

Nebraska Resale or Exempt Sale Certificate for Sales Tax Exemption
Please fill out the form fields below and they will be filled in on a Form 13.
Name and Mailing Address of Purchaser
Name
Company/Legal Entity Name
Street Address (Do not use PO Box)
City
State
Zip Code
Email
example@example.com
Signature
Authorized Signature Name
Title
Date

MonthDayYear
Date
Adam Marshall Land & Auction Email Recipient
example@example.com
Should be Empty: