Tax Exemption Certificate
AC 946 (Rev 3199)
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AC 946 (Rev 3199)
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AC 946 (Rev 3/99)
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TO BE RETAINED BY VENDOR AS
EVIDENCE OF EXEMPT SALE
TAX EXEMPTION CERTIFICATE
.......,.........." ....... ................ ... ....................
Name of Person or Firm Furnishing Services and/or Matenals
. .....Date
Address
This is to certify that I am an employee of the State of New York or one of its political subdivisions; that the seNices or materials purchased on the
date set forth below will be paid for by the State or a political subdivision; and that such charges are incurred in the performance of my official duties.
Nature of Transactions
Dates of Transactions
..............................."......................., ..............................".....
Signature of Employee
State Dept., Agency or
Political Subdivision
.......................... .~.'?~P..~:r.?~~~~..................................
Tille
The Federal and NYS Tax Exempt
Municipality
NOTE: A separate exemption certificate is required from each person claiming exemption
Identification for the Town of Wappinger is 14-6002488.
TO BE RETAINED BY VENDOR AS
EVIDENCE OF EXEMPT SALE
TAX EXEMPTION CERTIFICATE
......Date...... .
Name of Person or Firm Furnishing Services and/or Matenals
.... "'A:ddres's'" ....
This is to certify that I am an employee of the State of New York or one of its political subdivisions; that the seNices or materials purchased on the
date set forth below will be paid for by the State or a political subdivision; and that such charges are incurred in the perfonmance of my official duties.
Nature of Transactions
Dates of Transactions
..............................."....................................... .......................
Signature or Employee
State Dept., Agency or
Political Subdivision
Comptroller
.......................................................................................
Title
The Federal and NYS Tax Exempt
Municipality
NOTE A separate exemption certificate is required from each person claiming exemption.
Identification for the Town of Wappinger is 14-6002488.
TO BE RETAINED BY VENDOR AS
EVIDENCE OF EXEMPT SALE
TAX EXEMPTION CERTIFICATE
......................................".....,....... .................."....
Name of Person or Finm Furnishing SeNlces and/or Matenals
.....Date.....
............................................................................ ......,........
Address
This is to certify that I am an employee of the State of New Yark or one of its political subdivisions; that the seNices or materials purchased on the
date set forth below will be paid for by the State or a pOlitical subdivision; and that such charges are incurred in the performance of my official duties.
Nature of Transactions
Dates of Transactions
............... ..........................................,..................................,
Signature of Employee
State Dept., Agency or
Political Subdivision
Municipality
................. ....... .GO.1AP.t.r..Cl.1.J,..~.r....... .............................
Title
NOTE: A separate exemplion certificate is reqUired from each person claiming exemption The Federal and NYS Tax Exemp t
Identification for the Town of Wappinger is 14-6002488.