Utah State Tax Commission
LEASE/RENTAL SALES TAX AFFIDAVIT
To be used when tangible personal property is leased for exclusive use outside of Utah STATE OF UTAH COUNTY OF
I, the undersigned, hereby certify that:
TC-762 Rev. 6/03
) : )
1.
On the
day of
, 20
, I leased the following tangible personal
property (furnish complete description of property) Enter property description below this line.
from
(Name of lessor)
(Address of lessor)
2.
The property listed herein is leased for exclusive use outside of the state of Utah and that its primary use will be in the state of , and If, at some future date, this property is returned to Utah, I will immediately notify the lessor of this fact so that Utah sales tax can be computed and paid on the rental charges from that date on.
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3.
This form must be completed and signed by hand after it is printed.
Subscribed and sworn before me this day of
Notary Public Title
, 20
Date
Signed
(Lessee)
By
(Official representative if not the same as above)
NOTE: THIS FORM MUST BE RETAINED BY THE LESSOR TO SUBSTANTIATE THE EXEMPTION CLAIMED. DO NOT SEND THIS AFFIDAVIT TO THE UTAH STATE TAX COMMISSION.
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