Interstate Tax Exemption Form

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The undersigned hereby certifies that it is, or has contracted to operate for, the holder of a carrier permit issued by the Interstate Commerce Commission or its successor agency, authorizing transportation by motor vehicle across the boundaries of this state. The undersigned further certifies that the motor truck or trailer to be constructed, repaired, cleaned, altered, or improved by you—or to which the subject matter of this purchase will become a component part—will be used directly in the business of transporting persons or property for hire, and that such sale and/or modifications are exempt from Retail Sales Tax under the provisions of RCW 82.08.0262. This certificate is given with full knowledge of, and subject to, the legally prescribed penalties for fraud and tax evasion.

PERMIT NUMBER*

NAME OF CARRIER / PURCHASER*

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Entering your name here is considered a digital signature. You hereby acknowledge your understanding of this form and are submitted this information per the guidlines listed above.

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