Nebraska Certificate of Exemption for Mobility Enhancing FORM Equipment ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Name and Mailing Address of Purchaser' and 'Name and Mailing Address of Seller'. Ensure all details are accurate to avoid processing delays.
3. Select the type of certificate you need: either 'Single Purchase' or 'Blanket'. If you choose 'Single Purchase', provide the related invoice or purchase order number.
4. In the certification section, check the appropriate reason for exemption. Depending on your selection, complete the relevant sections (A, B, or C) with detailed descriptions and necessary identification numbers.
5. For Section A, describe the property or service purchased and indicate your business type. For Section B, specify the exemption category and intended use. For Section C, contractors must provide additional details as required.
6. Finally, sign and date the form in the designated area. Make sure to keep a copy for your records as instructed.

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