Illinois - Exemption Affidavit

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Customer #
Illinois - Exemption Affidavit
SELLER
BUYER
 
 
Important – To satisfy sales tax exemption requirements,
Sample Exemption Document
please send exemption documents and this affidavit form in
the order below:
1. This barcoded affidavit sheet
2. A signed copy of the Exemption Certificate issued to
your organization by the State
If sending more than one document, send separately using
same order as described above.
Fax Number is
Email address is
Documents can also be mailed to the Seller address above
NOTES – The State of Illinois issues an Exemption Certificate
to organizations that qualify for exemption from Sales and
Use Tax. Because this certificate is issued directly by the
State to your organization, it can not be generated by the
process just completed so you must provide a copy of the
Exemption Certificate previously sent to you by the State of
Illinois.
Customer #
Client #
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