St 105D Form – Fill Out and Use This PDF

This form is to be used only by an Indiana automobile auction or an Indiana dealer to reflect sales of motor vehicles, trailers, or watercraft sold exempt from Indiana sales tax for purposes of the “resale” exemption per I.C. 6-2.5-5-8. The purchasers claiming the exemption must be a licensed dealer in their state of residence and must disclose their Federal Identification Number (FID#) and their state of residence Dealer License Number on this form, unless they possess an Indiana Taxpayer Identification Number (TID#). Failure to provide both numbers in lieu of an Indiana TID# will void the claimed exemption and the selling auction or dealer must collect the Indiana sales tax.

Purchaser’s Name

TID#

Indiana TID#

Address

If not registered with IDOR, you must provide

both numbers below.

City

FID#

State

Zip

Dealer#

Phone # (

)

-

State of Residence Dealer#

Is this a	single purchase or blanket purchase exemption request? (Check One)
If single purchase indicate the VIN# or HIN#
Year, Make, and Model of single purchase				/	/
		Year		Make	Model

If this is a blanket purchase the certificate of exemption request is applicable to all purchases unless otherwise instructed by the buyer.

I hereby certify under the penalties of perjury, that the property that is to be purchased by the use of this exemption certificate will be used for the purpose of immediate “resale.”

If I am purchasing a new motor vehicle(s) for resale, I further certify that I possess a manufacturer’s new vehicle dealer franchise to sell the type of vehicle purchased, as required per I.C. 6-2.5-5-8. Failure to possess a manufacturer’s franchise to resell the type of vehicle being purchased, shall cause this exemption to become null and void. As a purchaser, I will become liable for the sales/use tax on such purchase, including penalties and interest.

Purchaser’s Signature				Title
Printed Name				Date		/	/

The Selling Auction or Selling Dealer must retain this form to document the exemption.