Tax Exempt Form

Issued to Seller
Seller Address
General description of tangible property or taxable services to be purchased from the Seller

Please select a state and enter details:

Primary state

Secondary state (optional)

I further certify that if any property or service so purchased tax free is used or consumed as to make it subject to a Sales or Use Tax we will pay the tax due directly to the proper taxing authority when state law so provides or inform the Seller for added tax billing. This certificate shall be a part of each order that we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked by thee city or state. Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter

Authorized Signature: (Owner, Partner, or Corporate Officer, or other authorized signer)

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123 US Hwy 46 (West)
Fairfield, NJ, USA 07004
(973) 377-2007

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Philadelphia, PA 19106
(215) 608-2222

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Fairfield

123 US Hwy 46 (West)
Fairfield, NJ, USA 07004
(973) 377-2007

Philadelphia

28 South 2nd Street
Philadelphia, PA 19106
(215) 608-2222

[email protected]
© 2024 Unique Photo All Rights Reserved.