Exemption Form

  • Ohio Department of TAXATION

    STEC-BRev. 3/15/04

    Sales and Use Tax Blanket Exemption Certificate

    The purchaser hereby claims exception or exemption on all purchases of tangible personal property and selected services made under this certificate from: PARKER TIRE SERVICE 5100 US 20A P.O. BOX 191 DEI IPA OH 43515 FAX: 419-822-0436 (vendor 's name) and certifies that the claim is based upon the purchaser's proposed use of the items or services, the activity of the purchase, or both, as shown hereon:
  • Date Format: MM slash DD slash YYYY
  • Vendors of motor vehicles, titled watercraft and titled outboard motors may use this certificate to purchase these items under the "resale" exception. Otherwise, purchaser must comply with either rule 5703-9-10 or 5703-9-25 of the Administrative Code. This certificate cannot be used by construction contractors to purchase material for incorporation into real property under an exempt construction contract. Construction contractors must comply with rule 5703-9-14 of the Administrative Code.