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4SALES TAX INFORMATION
Should we charge sales tax on all items that you purchase from us?
Yes __
No __
If no, please complete and sign the appropriate sales and use tax exemption certificate for your state. We
are required to charge sales tax on all purchases which do not have a signed sales tax exemption certifi-
cate on file.
If yes, I (we) agree to pay sales tax on all purchases.
Should the status of my (our) sales tax change, I agree to notify Dacotah Paper Co of such change and
agree that I (we) will be responsible for any sales tax liability that may occur. I further agree to hold
Dacotah Paper Co harmless for any sales tax penalties and interest that may occur.
My signature on the following page attests to the accuracy of our sales tax information as stated above.
—————————————————————————————————————————————————————————
BUSINESS FACTS
Legal Name ___________________________________________________________________________
____ Proprietorship ______ Partnership _____ LLP ______ Corporation ______ LLC ______ Other
Federal ID Number: _____________________________________________________________________
What does this business do? ______________________________________________________________
New Owner? ____ Yes
Purchase Date
__________________________________________________
____ No
Length of Time in Business _________________________________________
List full names of responsible owners/officers:
Name
Title/Office Held
1.
_________________________
_____________________________________________________
2.
_________________________
_____________________________________________________
3.
_________________________
_____________________________________________________
ACCOUNTS PAYABLE INFORMATION:
Name_________________________ Phone No__________________ E-mail_______________________
BANKING INFORMATION
______________________________
______________________________
____________________
Bank Name
Officer
Phone No
_________________________________________
__________________________________________
Address
City, State, Zip Code
TRADE REFERENCES:
Name
Address
Phone No
1.
_________________________
_______________________________ _____________________
2.
_________________________
_______________________________ _____________________
3.
_________________________
_______________________________ _____________________
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