Get Sf 49064

Indiana Department of Revenue Agricultural Blanket Exemption Certificate Do not use this certificate for types of purchases not specifically listed hereon Form ST-106 SF 49064 8-98 Name Social Security Number Address Date Issued to This blanket exemption certificate may be used only for the below listed categories of personal property and then only if such property is to be used directly in the production of agricultural products for resale Seeds Fertilizers Insecticides Fungicides and Herbicides. Repair Parts for Machinery Used Directly in Production* Livestock or Poultry to be used for Direct Production of Does Not Include Vehicles Licensed for Highway Use. Food or Commodities. Motor Fuel and Other Petroleum Products. Feed for Above Described Livestock. I hereby certify under the penalties of perjury that all personal property purchased by use of this exemption certificate will be used directly in the Production of Agricultural Products for Resale as described above. If this certificate is used for motor fuel I further certify that I will report taxable use of motor fuel and pay the Sales Tax thereon* Signature All blanket agricultural exemption certificates which are not on new Form ST-106 or which were issued prior to December 1 1969 are invalid as to all purchases made on or after January 1 1970. Repair Parts for Machinery Used Directly in Production* Livestock or Poultry to be used for Direct Production of Does Not Include Vehicles Licensed for Highway Use. Food or Commodities. Motor Fuel and Other Petroleum Products. Feed for Above Described Livestock. I hereby certify under the penalties of perjury that all personal property purchased by use of this exemption certificate will be used directly in the Production of Agricultural Products for Resale as described above. Food or Commodities. Motor Fuel and Other Petroleum Products. Feed for Above Described Livestock. I hereby certify under the penalties of perjury that all personal property purchased by use of this exemption certificate will be used directly in the Production of Agricultural Products for Resale as described above. If this certificate is used for motor fuel I further certify that I will report taxable use of motor fuel and pay the Sales Tax thereon* Signature All blanket agricultural exemption certificates which are not on new Form ST-106 or which were issued prior to December 1 1969 are invalid as to all purchases made on or after January 1 1970. Repair Parts for Machinery Used Directly in Production* Livestock or Poultry to be used for Direct Production of Does Not Include Vehicles Licensed for Highway Use. Food or Commodities. Motor Fuel and Other Petroleum Products. Feed for Above Described Livestock. I hereby certify under the penalties of perjury that all personal property purchased by use of this exemption certificate will be used directly in the Production of Agricultural Products for Resale as described above. If this certificate is used for motor fuel I further certify that I will report taxable use of motor fuel and pay the Sales Tax thereon* Signature All blanket agricultural exemption certificates which are not on new Form ST-106 or which were issued prior to December 1 1969 are invalid as to all purchases made on or after January 1 1970.