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
Print Name and Title:
________________________________
|
|
|
