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                                    Utah State Tax Commission
                                                                                                                                                  TC-721 NR
                                 Sales Tax Exemption Certificate
                                                                                                                                                  Rev. 4/95
          For Non-Utah Retailers Accepting Delivery of Merchandise in Utah

To (Name of Vendor):

This is to certify that                                                                                                                            is a dealer in tangible personal
property or services and that the tangible personal property or services purchased from the above-named vendor and shown on
invoice number(s)                                                                                                       are for resale as tangible personal property or
services. The property will NOT be used in real property contract work or for any other personal or business use. My retail sales
license number in the state of                                                 is                                                        .

This certificate shall be valid only for the specific purchases referenced by the invoice number(s) noted above. A new certificate must
be completed each time a non-Utah retailer accepts delivery of merchandise in Utah.

          To be valid this certificate must be filled in completely including date, signature and license number.

Signature                                         Print Form       Title
Please sign this form by hand after it is printed.
Name of Business (print or type)

Address

City                                              State                                                                                   Zip Code

IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.                                                            Clear form

          DO NOT SEND THIS CERTIFICATE TO THE TAX COMMISSION

          NOTE TO VENDOR:------- Keep this certificate on file since it must be available for audit review.
          NOTE TO PURCHASER:------- Keep a copy of this certificate for your records. You are responsible to
          notify the vendor of cancellation, modification, or limitation of the exemption you have claimed.

Questions about the propriety of accepting this certificate from an out-of-state customer should be directed to Taxpayer
Services Division, Utah State Tax Commission, 210 N 1950 W, Salt Lake City, Utah 84134, Telephone (801) 297-2200, or toll
free 1-800-662-4335.

If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at (801) 297-3811 or
TDD (801) 297-3819. Please allow three working days for a response.

                                                                                                                                                  TC-721NR.CDR Rev. 4/95