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St 120 1 Fillable 2016
Must keep the certificate for at least three years, as explained in the instructions.
This form cannot be used to purchase motor fuel or diesel motor fuel exempt from tax.
To contractors and vendors: read the instructions on pages 3 and 4 carefully before completing or accepting this certificate.
Name of seller
Name of purchasing contractor
Street address
Street address
City
City
State
ZIP code
State
1. I have been issued a New York State Certificate of Authority,...
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