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Get Eclaim Form With Barcode

At owes sales or use tax. Do not use this form if you are required to register for sales tax purposes with the New York State Tax Department or if you are reporting the purchase of a motor vehicle, trailer, all-terrain vehicle, vessel, or snowmobile that must be registered or titled by the New York State Department of Motor Vehicles (see instructions). For office use only Type or print clearly Purchaser s name Social security number Purchaser s address (number and street or rural route).

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