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Indiana State Form Sales Exemption

Indiana State Form Sales Exemption

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Attached □ 1 bill showing annual usage is attached D. Fill In All Applicable Blanks On the reverse side, only complete the Summary (Section E) and sign and date the form. 1 Indiana Taxpayer Identification Number (TID) 2 Location (three digit location number) 3 Social Security Number (farmers only) 4 Federal ID Number 5 Name of Utility Company 6 Meter Number (only 1 meter per application) 7 Account Number (from utility bills) Type of Energy/Utility Service 8 (telephone, gas, electric, steam, or...
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