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Pennsylvania Exemption Certificate REV 1220 PA Department of 2019
Qualify for the partial
manufacturing exemption, the seller must make certain the correct amount of tax is charged for each item purchased.
PURCHASER’S NAME
TELEPHONE NUMBER
SELLER’S NAME
CONTACT PERSON
CONTACT PERSON
DOING BUSINESS AS NAME (DBA)
DOING BUSINESS AS NAME (DBA)
ADDRESS
ADDRESS
CITY, STATE, ZIP
TELEPHONE NUMBER
CITY, STATE, ZIP
PRODUCT OR SERVICES PURCHASED EXEMPT FROM TAX
PURCHASER’S TYPE OF BUSINESS
PURCHASER’S MO TAX ID NUMBER
__ __ __ __ __ __ __...
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