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Btr 101 Form Fillable 2018
S.77.52(1)(d), or
taxable services, as indicated by the box(es) checked below.
I hereby certify that I am engaged in the business of selling, leasing, licensing, or renting:
(Purchaser’s description of property, items, goods, or services sold by purchaser.)
Purchaser’s description of property or services purchased (itemize property, items, or goods purchased if “single purchase”):
Seller’s Address
Seller’s Name
REASON FOR EXEMPTION
Resale (Enter purchaser’s seller’s permit or use tax...
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