Sales Tax Exempt Form printable pdf download

Sales Tax Exempt Form

Company Information:

Company Name: ________________________________________________________________

Address: ______________________________________________________________________

City: _________________________________________ State: __________ Zip: _____________

Type of Business:

[___] Government Agency

[___] Other

[___] Reseller

Do you wish to be tax exempt for all future orders? [___] Yes

[___] No

Description of Items to Be Purchased:

______________________________________________________________________________

If this Sales Tax Exempt Form Certificate is misused by the seller or buyer such violation may be

punishable by a fine, imprisonment, or the loss of certificate issuance rights.

______________________________________________________________________________

Signature

Date

Print Name and Title: ____________________________________________________________

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Sales Tax Exempt Form