Instructions: This certificate should be
completed by the purchaser and given to the seller for retention as part of the
seller's records.
Single
Purchase
Continuous
The undersigned hereby claims exemption form Wisconsin sales or
use tax on the purchase, lease or rental of tangible personal property or
taxable services from: ANIMART, INC. based upon the
purchaser's proposed exclusive use of the item(s) purchased in farming,
including dairy farming, agriculture, horticulture, or floriculture when
engaged in as a business enterprise.
Tractors (except
lawn and garden tractors) and farm machines*, including accessories,
attachments, and parts and repair service therefore.
Fuel**, including
natural gas (does not include lubricants (oil) or antifreeze).
Feed, seeds for
planting, plants, fertilizer, soil conditioners, sprays, pesticides and
fungicides.
Baling twine and
baling wire.
Breeding and other
livestock, poultry, and farm work stock.
Containers for
fruits, vegetables, grains, hay and silage. Also containers actually
used to transfer merchandise to customers of the undersigned.
Animal bedding.
Medicine for farm
livestock.
Milk house
supplies.
If "continuous" exemption
is checked above, this certificate shall continue in force until revoked and
shall be considered as a part of each order given to the above named seller or
lessor unless the order specifies otherwise. Use of this certificate
does not exempt sales of items other than certified above. NOTES: * No claim for exemption may be made by farmers for the purchase of
motor vehicles or trailers for highway use, lawn and garden tractors,
snowmobiles, or for items used for the personal comfort or convenience of the
farmer.
** This certificate cannot be
used as an exemption for paying Wisconsin motor vehicle fuel tax. The
certification of Fuel Tax Exemption, Form MF-209, must be used to claim valid
motor vehicle fuel tax exemption.
Each sale made under a continuous
exemption claim must be supported by a sales record showing the name and
address of the purchaser as noted above, the date of sale, and description of
the property sold.
I am authorized to execute this
certificate and claim this exemption. Misuse of this certificate by the
seller or farmer may constitute a misdemeanor. Purchaser's Name:
Purchaser's Business Name (if different than above):
Purchaser's Signature:
Purchaser's Phone Number (Please include area code):
Purchaser's Address, City, State, Zip
Date:
Questions: If either the
purchaser or the seller has any questions regarding the completion or use of
this exemption certificate, please call (608) 266-2776 or write to the
Wisconsin Department of Revenue, P.O. Box 8902, Madison, WI
53708-8902.
This Form May Be Reproduced
Please
Print This Form and Fax to 920-885-2812
-OR-
Mail to Animart Inc.; 900 Green Valley Rd.; Beaver Dam, WI 53916
