(CAG & GD) Sierra Auction - Arizona Vehicle Dealer (5000A)

Only complete this form if you meet the all of the following criteria:

1. You hold a vehicle dealer's license in the state of Arizona.

2. You are seeking sales tax exemption for a vehicle(s) that was / will be purchased within the state of Arizona from the seller "Sierra Auction."
Please provide a copy of your Arizona vehicle dealer's license:*

Cancelof
Please provide a copy of your Arizona Transaction Privilege Tax (TPT) license:*

Cancelof
How should we apply this tax exemption to your account?*
Your Account Username:*
Note: This is what you use to sign into govdeals.com and/or allsurplus.com. This is NOT your first name and last name.
Your Full Name:*
Your Email:*
LOT #(s):*
Note: If you do not know this, please list "unknown."
Your Company's Name:*
Your Arizona Transaction Privilege Tax (TPT) license number:*
Note: The TPT license number is an 8 (eight) digit number
Your Company's Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Description of Your Company's Business:
General description of the property that you are purchasing from us:
I hereby certify that these purchases are for resale in the ordinary course of business and that the information on this Certificate is true, accurate and complete. Further, if purchasing as an agent or officer, I certify that I am authorized to execute this Certificate on behalf of the purchaser named above.
Signature*

Clear
Title:*
(Owner, Partner, or Corporate Officer, or other authorized signer)
Date:

MonthDayYear
Date
x for single transaction
X to add before "Period From"
From Date

MonthDayYear
Date
Expiration Date of 12.31
Should be Empty: