Tap To Pray Multistate Resale Certificate

Streamlined Sales Tax Agreement

Certificate of Exemption
How to use this form:

1) Fill out the fields in the form below.

This is a multi-state form. Not all states allow all exemptions listed on this form. Purchasers are responsible for knowing if they qualify to claim exemption from tax in the state that would otherwise be due tax on this sale. The seller may be required to provide this exemption certificate (or the data elements required on the form) to a state that would otherwise be due tax on this sale.

The purchaser will be held liable for any tax and interest, and possible civil and criminal penalties imposed by the member state, if the purchaser is not eligible to claim this exemption. A seller may not accept a certificate of exemption for entity-based exemption on a sale made at a location operated by the seller within the designated state if the state does not allow such an entity-based exemption.

2) Signing at the bottom of this document says that you have read and agreed to the above statement and the information you provided is truthful.

3) When you submit this form, it will populate the standard Streamlined Sales Tax Governing Board Tax form as a PDF.

4) After submitting, a copy of this document will be sent to Tap To Pray.

If you would like to upload an already existing PDF or image of your resale certificate form, click here.
The following states may use this form: Alaska, Arkansas, Delaware, Georgia, Indiana, Iowa, Kansas, Kentucky, Michigan, Mississippi, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Dakota, Utah, Vermont, Washington, West Virginia, Wisconsin, Wyoming

Click Here For the Multijurisdiction Form, Covering these States: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin

The following states require a state specific resale certificate:

Massachusetts

New York

Virginia

Washington, D.C.

Louisiana is not covered by any form.
For your convenience, the seller’s information (Versible, dba Tap To Pray), along with the business type and product classification (“retail trade” and “tangible personal property”), has been pre-populated and is not subject to modification. By checking the box below, you acknowledge and agree to the use of this information as presented:
1. Check if you are attaching the Multistate Supplemental form.
If not, enter the two-letter abbreviation for the state under whose laws you are claiming exemption:
2. Check if this certificate is for a Single Purchase Certificate.
Enter the related invoice/purchase order number:
Sales Representative Name:
Sales Representative Email:
example@example.com
3A. Legal Company Name As Displayed on Tax Return:
Company DBA:
Submitter's Email:
example@example.com
3B. Business address:
City:
State:
Zip Code:
3C. Purchaser’s tax ID number:
State of Issue:
Country of Issue:
If No Tax ID Number, Enter One of the Following:
3D. FEIN:
3E. Driver’s License Number/State Issued ID number:
State of Issue:
3F. Foreign Diplomat Number:
3G. Name of Seller From Whom You Are Purchasing
3H. Seller's address
City
ST
Zip
Purchaser's Type of business: Select the number that best describes your business:

Other
Reason for exemption: Select the letter that identifies the reason for the exemption:
Resale Certificate Number:
Description of Items Purchased:
I declare that the information on this certificate is correct and complete to the best of my knowledge and belief.
Signature of Authorized Purchaser:
Name:
Title:
Name of Purchaser:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
State and Identification Number (If Required)
AR
GA
IA
IN
KS
KY
MI
MN
NC
ND
NE
NJ
NV
OH
RI
OK
SD
TN
UT
VT
WA
WI
WV
WY
Reason for Exemption:
Resale
Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayDate
The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states.
AK (Identification number)
Vendor Alt Name
Should be Empty:

Streamlined Sales Tax Agreement

State and Identification Number (If Required)