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Click ‘Get Form’ to open it in the editor.
Begin by entering the name and mailing address of both the purchaser and seller. Ensure you provide a complete street address, avoiding PO Boxes.
Select the type of certificate by checking either 'Single Purchase' or 'Blanket'. If 'Single Purchase' is selected, enter the related invoice or purchase order number.
Indicate the reason for exemption by checking one of the options: 'Purchase for Resale', 'Exempt Purchase', or 'Contractor'. Depending on your selection, complete the corresponding section (A, B, or C).
In Section A, describe the property or service purchased and specify your business type. Provide your Nebraska Sales Tax Permit Number if applicable.
For Section B, enter the exemption category number and provide details about items purchased and their intended use.
Complete Section C if you are a contractor, ensuring to include necessary permit numbers and any required attachments.
Finally, sign and date the form where indicated. Remember to keep this certificate as part of your records; do not send it to the Nebraska Department of Revenue.
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