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Sales Tax Exempt Form

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Sales Tax Exempt Form Template

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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.


Print Name and Title: _________________________________

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