General Sales Tax Exemption Certificate

(May not be used as an AGRICULTURAL OR UTILITY EXEMPTION CERTIFICATE.)

Name:
Email:
Account No:
Address:
City:
State:
Zip:
   
Blanket
Single Purchase
Description of Articles
   
Sale to Retailer, Wholesaler or Manufacturer for Resale Only:
Sale of Manufacturing Machinery, tools and equipment to be used directly in direct production:
Sales to Not-For-Profit Organizations, claiming exampt purchases pursuant to bulletin #10
Note: Many purchases by Not-For-Profit Organizations are subject to Sales Tax; Therefore, purchaser is cautioned to read bulletin #10 before signing this certificate.
 
Sales to Government units
Other (Please Explain)
 
The undersigned Applicant(s) authorizes the release to a credit reporting agency of any information that the agency may need in order to complete it's report. Photocopying of Applicant's signature may be necessary for obtaining credit ratings and is hereby authorized.
I agree
Thank you in advance for your assistance.
 
Applicant's Initials:
Applicant's Name:
Company Name:
Date:
   
 

 

 

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