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TENNESSEE DEPARTMENT OF REVENUE TENNESSEE SALES OR USE TAX CERTIFICATE OF EXEMPTION PURCHASING AGENT CONTRACTORS OF THE UNITED STATES OF AMERICA Atomic Energy Commission To Vendor s Name Vendor s Address The undersigned hereby certifies that the contractor indicated below is a cost type contractor that has been designated by the United States Atomic Energy Commission as a Purchasing Agent for the United States of America. The Commissioner of Revenue of the State of Tennessee has specifically authorized the contractor as a Purchasing Agent to make purchases of tangible personal property and taxable services on behalf of the United States of America without paying Tennessee Sales or Use Tax to the vendor. Certificate of Exemption is used in any manner that makes it subject to the Tennessee Use Tax the contractor will pay the tax directly to the Commissioner of Revenue. Name of Contractor Signed Date Title This Certificate of Exemption may be used as a blanket Certificate of Exemption for all purchases made from the same vendor. Subsequent purchase orders should refer to the original certificate filed with the vendor. RV-F1306601 INTERNET 2-08. Certificate of Exemption is used in any manner that makes it subject to the Tennessee Use Tax the contractor will pay the tax directly to the Commissioner of Revenue. Name of Contractor Signed Date Title This Certificate of Exemption may be used as a blanket Certificate of Exemption for all purchases made from the same vendor. Name of Contractor Signed Date Title This Certificate of Exemption may be used as a blanket Certificate of Exemption for all purchases made from the same vendor. Subsequent purchase orders should refer to the original certificate filed with the vendor. RV-F1306601 INTERNET 2-08. Certificate of Exemption is used in any manner that makes it subject to the Tennessee Use Tax the contractor will pay the tax directly to the Commissioner of Revenue. Name of Contractor Signed Date Title This Certificate of Exemption may be used as a blanket Certificate of Exemption for all purchases made from the same vendor. Subsequent purchase orders should refer to the original certificate filed with the vendor. RV-F1306601 INTERNET 2-08.

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