Nebraska Resale or Exempt Sale Certificate FORM
for Sales Tax Exemption
• Read instructions on reverse side/see note below
13
NAME AND MAILING ADDRESS OF PURCHASER NAME AND MAILING ADDRESS OF SELLER
Name Name
BigIron Auction Company
Street or Other Mailing Address Street or Other Mailing Address
PO Box 266
City State Zip Code City State Zip Code
St. Edward NE 68660
Check Type of Certificate
Single Purchase ✔ Blanket If blanket is checked, this certificate is valid until revoked in writing by the purchaser.
I hereby certify that the purchase, lease, or rental by the above purchaser is exempt from the Nebraska sales tax for the following reason:
Check One Purchase for Resale (Complete Section A) ✔ Exempt Purchase (Complete Section B) Contractor (Complete Section C)
SECTION A — Nebraska Resale Certificate
Description of Item or Service Purchased
I hereby certify that the purchase, lease, or rental of
from the above seller is exempt from the Nebraska sales tax as a purchase for resale, rental, or lease in the normal course of our business, either in the
form or condition in which purchased, or as an ingredient or component part of other property to be resold.
I further certify that we are engaged in business as a: Wholesaler Retailer Manufacturer Lessor
of Description of Product Sold, Leased, or Rented
If None, State Reason
and hold Nebraska Sales Tax Permit Number 01-
or Foreign State Sales Tax Number State
SECTION B — Nebraska Exempt Sale Certificate
The basis for this exemption is exemption category 2 (Insert appropriate category as described on reverse of this form.)
If exemption category 2 or 5 is claimed, enter the following information:
Description of Item(s) Purchased Intended Use of Item(s) Purchased
FARM EQUIPMENT AG PRODUCTION
If exemption categories 3 or 4 are claimed, enter the Nebraska Exemption Certificate number. 05 -
If exemption category 6 is claimed, seller must enter the following information and sign this form below:
Description of Item(s) Sold Date of Seller’s Original Purchase Was Tax Paid when Purchased by Seller? Was Item Depreciable?
YES NO YES NO
SECTION C — For Contractors Only
1. Purchases of Building Materials or Fixtures:
As an Option 1 or Option 3 contractor, I hereby certify that purchases of building materials and fixtures from the above seller are exempt from
Nebraska sales tax. My Nebraska Sales or Consumer’s Use Tax Permit Number is: 01-
2. Purchases Made Under Purchasing Agent Appointment:
Pursuant to an attached Purchasing Agent Appointment and Delegation of Authority for Sales and Use Tax, Form 17, I hereby certify that purchases
of building materials, and fixtures are exempt from Nebraska sales tax.
Any purchaser, or the agent thereof, or other person who completes this certificate for any purchase which is other than for resale, lease, or rental
in the regular course of the purchaser’s business, or is not otherwise exempted from the sales and use tax under Sections 77-2701 through 77-27,135 of
the Nebraska Revenue Act, as amended, shall in addition to any tax, interest, or penalty otherwise imposed, be subject to a penalty of $100 or ten times
the tax, whichever amount is larger, for each instance of presentation and misuse. With regard to a blanket certificate, said penalty shall apply to each
purchase made during the period the blanket certificate is in effect. Under penalties of law, I declare that I am authorized to sign this certificate, and to the
best of my knowledge and belief, it is correct and complete.
sign
here Authorized Signature Title Date
NOTE: Sellers must keep this certificate as part of their records. DO NOT SEND TO THE NEBRASKA DEPARTMENT OF REVENUE.
Incomplete certificates cannot be accepted.
6-134-1970 Rev. 10-2007
Supersedes 6-134-1970 Rev. 6-2006
