STATE OF RHODE ISLAND 
                                              DEPARTMENT OF REVENUE
                                                    DIVISION OF TAXATION

                                                    SALES AND USE TAX
                                    MANUFACTURER’S EXEMPTION CERTIFICATE 

NAME OF SELLER :______________________________________    DATE ___________________ 

ADDRESS OF SELLER____________________________________________________________

UNDER PENALTIES OF PERJURY,I HEREBY CERTIFY THAT THE  PROPERTY HEREIN DESCRIBED  IS PURCHASED  FOR THE FOLLOWING INDICATED
PURPOSE AND IS EXEMPT FROM THE SALES OR USE TAX PURSUANT TO         CHAPTER18, SECTION30 (7) OR (22) OF THE         RHODE SLANDISALES AND
USE TAX LAW:

       1. [     ]THE PROPERTY DESCRIBED BELOW IS PURCHASED FOR THE PURPOSE OF BEING MANUFACTURED IN THIS 
                STATE INTO A FINISHED PRODUCT FOR RESALE AND BECOMES A RECOGNIZABLE ,   INTEGRAL PART OF SUCH 
                FINISHED PRODUCT.

       2. [          ] THE PROPERTY DESCRIBED BELOW WILL BE USED IN THIS STATE IN AN  INDUSTRIAL PLANT IN THE ACTUAL 
                MANUFACTURE ,CONVERSION ,OR  PROCESSING OF TANGIBLE PERSONAL PROPERTY ,          OR TO THE EXTENT
                 USED IN CONNECTION WITH THE ACTUAL MANUFACTURE ,        CONVERSION  OR PROCESSING OF COMPUTER 
                SOFTWARE AS THAT TERM IS UTILIZED  IN INDUSTRY NUMBERS 7371, 7372 AND 7373 IN THE STANDARD
                 INDUSTRIAL  CLASSIFICATION ,OFFICE OF STATISTICAL STANDARDS ,EXECUTIVE OFFICE OF THE PRESIDENT,
                UNITED STATES BUREAU OF THE BUDGET ,AS REVISED FROM TIME TO TIME  TO,   BE SOLD  OR,   USED IN THE 
                FURNISHING OF POWER TO AN  INDUSTRIAL MANUFACTURING PLANT.

DESCRIPTION OF PROPERTY : ________________________________________________________________ 

________________________________________________________________________________________ 

________________________________________________________________________________________ 

________________________________________________________________________________________ 

IF THE TANGIBLE PERSONAL PROPERTY UNDER THIS CERTIFICATE IS USED TO ANY EXTENT IN A TAXABLE MANNER             ,I(WE)AGREE TO FILE THE    
APPROPRIATE USE TAX RETURNS AS REQUIRED BYR.I.REGULATION 280-RICR-20-70-19 AND THE RHODE SLAND I              SALES AND USE TAX LAW.

NAME OF PURCHASER ___________________________________________________________ 

                                      ADDRESS OF PURCHASER          _______________________________________________________ 

                                                                         _____________________________________________________

SIGNATURE OF PURCHASER OR AGENT _______________________________________________ 

IF CORPORATION GIVE NAME AND TITLE OF CORPORATE OFFICER __________________________ 

CHECK APPLICABLE       :   SINGLE PURCHASE CERTIFICATE            []
                           BLANKET CERTIFICATE                    []

                        THIS FORM IS APPROVED BY THE DIVISION OF TAXATION AND MAY BE REPRODUCED

R.I. Regulation 280-RICR-20-70-19