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State of Rhode Island and Providence Plantations Department of Revenue Division of Taxation Excise Tax Section One Capitol Hill Providence RI 02908-5800 AFFIDAVIT OF TRUCK TRAILER OR BUS OPERATED EXCLUSIVELY IN INTERSTATE COMMERCE Name of registrant or lessee Address City/Town State and ZIP code Email address I hereby certify that I am a trucking or busing company that transports goods or passengers for hire and the vehicle described will be Used.

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