TENNESSEE DEPARTMENT OF REVENUE
APPLICATION FOR SALES TAX EXEMPTION
For Interstate Commerce Motor Vehicles and Trailers
Dealer/Seller
Dealer Address
Name of Purchaser
Sales Tax
Registration No.
Invoice No.
Date of Sale or Lease
If Long Term Lease:
Name of Lessee
Lessee Address
Purchaser Address
If vehicle or trailer is leased, attach a copy of the lease contract.
Description of the Motor Vehicle or Trailer
Truck
Semi-Tractor
Trailer
Make
Serial
Number
Sales
Price
Model
Motor
Number
Trade-In
Allowance
Year
New Used
Amount
Paid
Gross Vehicle Weight Rating Class
Lbs.
(Regardless of their use, vehicles smaller than Class 3 (16,000 lbs., or less) are not exempt from sales and use tax.)
Check the Applicable Boxes
The motor vehicle or trailer described above will be registered in the International Registration Program (attach copy);
or
The carrier has an Operating Authority/Permit issued by the Interstate Commerce Commission, Federal Highway
Administration or the Federal Motor Carrier Safety Administration (attach copy); or
The motor vehicle or trailer will be used to transport exempt commodities as defined by federal law.
I understand that falsification of this document for the purpose of tax exemption may be considered fraud and is punishable by
law.
RV-F1300401 (Rev. 8-12)
(not applicable to trailers)
YES/NO (circle one) The motor vehicle or trailer will be used to transport passengers or cargo principally (more than 50%) in
interstate or foreign commerce pursuant to Tenn Code Ann. Section 67-6-331.
(If the answer to this question is no, the exemption does not apply).
PURCHASER’S SIGNATURE DATE
This application for exemption must be prepared and executed in triplicate by the dealer/seller and purchaser at the time of the
sale of the motor vehicle or trailer. The original must be retained by the dealer/seller to substantiate the exemption claimed on
its Sales and Use Tax return. The purchaser should retain a copy with the application for title and the title after it is issued. A
copy must accompany the application for title and must be submitted to the Vehicle Services Division, Tennessee Department
of Revenue, 500 Deaderick St, Nashville, Tennessee 37242.
Do not mail this form to the Tennessee Department of Revenue.
Internet (8-12)
