Date:_____________________
This
is to certify that all future purchases made by the below named entity, are
exempt from the
payment of
_________ 1. For the purpose of resale.
_________ 2. For use in industrial
processing.
_________ 3.
personal property.
_________ 4.
_________ 5. Sale to U.S., State of
Michigan, or subdivisions thereof.
_________ 6. Sale to churches, hospitals, schools, exempt by
Sales Tax Law.
_________ 7.
_________ 8. Misc. (detail)
___________________________________________________________________________________
________________________________________________________________
NOTE:
If, at a later date the State of
to reimburse Landscape Direct or pay taxes directly to the State
of
_____________________________________________________________________________________
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