Date:_____________________

 

 

            This is to certify that all future purchases made by the below named entity, are exempt from the
            payment of
Michigan Sales Tax for the following reason/s:

 

 

            _________ 1. For the purpose of resale.

            _________ 2. For use in industrial processing.

            _________ 3. Sale of catalogs and other promotional material used to help the sale of tangible
                                   personal property.

            _________ 4. Sale in interstate commerce.

            _________ 5. Sale to U.S., State of Michigan, or subdivisions thereof.

            _________ 6. Sale to churches, hospitals, schools, exempt by Sales Tax Law.

            _________ 7. Sale to Michigan users who pay a use tax on this purchase.

            _________ 8. Misc. (detail)

 

                              ___________________________________________________________________________________

                             

      ___________________________________________________________________________________

 

            NOTE: If, at a later date the State of Michigan finds you liable to pay taxes, you shall agree
            to reimburse
Landscape Direct or pay taxes directly to the State of
Michigan.

 

            _____________________________________________________________________________________________

                        Company Name                                              Company Address

 

            _____________________________________________________________________________________________

                        (City)                                (State)                    (Zip)                    (Telephone – Voice & Fax)

 

            _____________________________________________________________________________________________

                        (Purchaser’s Authorized Signature & Date)    (Witness to Purchaser’s Signature)

 

            Sales Tax Number:____________________________ Company Identification #:____________________________  

 

                         **Please provide a copy of your sales tax license which is required to be kept on file.**   

 

 

 

                                                            

 

                                                          “YOUR IMAGE IS OUR REPUTATION”                                                                      

Print and Send to:
Landscape Direct
ATTN: WHS Exempt
13000 31 Mile Rd. Washington MI 48095
or Fax to
775-218-4360