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In Section 1, enter the Name of Purchaser and Business Address. Ensure you provide at least one ID number: your Indiana Registered Retail Merchant’s Certificate TID and LOC Number, or your State Tax ID Number if not registered in Indiana.
Move to Section 2. Indicate whether this is a blanket purchase exemption request or a single purchase exemption request by checking the appropriate box. Describe the items to be purchased clearly.
In Section 3, check the reason for exemption that applies to your purchase. Be prepared to provide additional information if requested.
Finally, in Section 4, sign and date the form. Include your printed name and title to complete the certification process.
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Form ST105. State Form 49065 R4/ s -05. Indiana Department of Revenue. General Sales Tax Exemption Certificate. Indiana registered retail merchants andRead more
Indiana registered retail merchants and businesses located outside Indiana may use this certificate. The claimed exemption must be allowed by Indiana code.Read more
Indiana Form ST-105, General Sales Tax Exemption Certificate. Beginning Jan. 1, 2023, gasoline use tax exemption and sales tax exemption for nonprofits willRead more
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