Attn: Accounts Receivable
24800 Sherwood Ave.
SALES TAX EXEMPTION FORM
Center Line, MI 48015
For the purpose of reporting our sales tax exemptions to the State Board of Tax
Administration, please fill out the following information regarding your Tax Status:
(Please note that customers outside of Michigan or Texas whould mark "Tax
Exempt" and "Interstate Commerce" below, and pay any tax due with their
state Sales and Use tax returns.)
Please indicate the reason for NOT including tax in our billings to you.
Check the statements below which apply to your business:
Orphanage or Home for the Aged
We, the customer, agree that within 30 days of any cancellation of our license, or at any time
we should be billed for tax, we will so notify Whitlam Group. The undersigned further agrees
to reimburse seller, Whitlam Group, for any deficiencies imposed by the State of Michigan for
failure to pay the Sales Tax applicable to the tangible personal property purchased from them.
Our Sales Tax License Number:
Please read and check the information you have supplied. Make any corrections on your
above shown address, and mail or fax this form to Whitlam Group's Accounting Department
at your earliest convenience.
WLF-9300-16 Rev 5 8-18-2015