REQUEST FOR TAX EXEMPTION
  • REQUEST FOR TAX EXEMPTION

  • Hello and thank you for your loyalty. Please take a moment to fill out this form for your request for TAX EXEMPTION. All information is stored to your CUSTOMER PROFILE AND REMAIN CONFIDENTIAL for ACCOUNTING Purposes.

    For Your Information:
    It is understood that the tangible personal property item(s), purchased under this certificate, listed on "Types of Items Purchased for Resale", will be resold in the regular course of business operations. In the event of property being used for any purpose other than retention, demonstration or display while holding for sale in the regular course of business, use tax will be owed based on each item's purchase price or as otherwise provided by law. The buyer acknowledges that it is solely responsible for purchasing within the category listed above. The buyer further acknowledges that misuse of the resale privilege for personal gain or to evade the payment of tax is liable for each purchase and subjects the buyer to a penalty of 50 percent of the tax due, in addition to the tax, interest, and any other penalties imposed by state law.

    Certification:
    I hereby certify that these transactions are exempt from sales/transaction privilege tax and that the information on this certificate is true, accurate and complete. Further, I am the the owner, partner, managing member, duly elected official or certificate holder of the company and certify that I am authorized to execute this certificate on behalf of the certificate holder above.

  • EFFECTIVE DATE OF CERTIFICATE*
     - -
  • EXPIRATION OR EFFECTIVE THROUGH DATE IF APPLICABLE
     - -
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Should be Empty: