Check One

Abstract

® 1. Property or services will be used directly and predominately by purchaser in performing purchaser's operation of: ® 2. Purchaser is a/an: ® 3. Property will be resold under Account ID____________________________ . (If purchaser does not have a PA Sales Tax Account ID, include a statement under Number 7 explaining why a number is not required.) ® 4. Purchaser is a/an: ______________________________________________________ holding Exemption Account ID ® 5. Property or services will be used directly and predominately by purchaser performing a public utility service. ® PA Public Utility Commission PUC Number ______________ and/or ® U.S. Department of Transportation MC/MX ® 6. Exempt wrapping supplies, Account ID____________________________ . (If purchaser does not have a PA Sales Tax Account ID, include a statement under Number 7 explaining why a number is not required.) ® 7. Other (Explain in detail. Additional space on reverse side.)