SALES AND USE TAX EXEMPTION SALES TAX CERTIFICATE

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SALES AND USE TAX EXEMPTION & SALES TAX CERTIFICATE We are required by law to charge sales tax or have the appropriate exemption certificate on file. Please check one of the following boxes necessary for your company Exempt - Complete Section 1 Taxable - Complete Section 2 ***** IF NON TAXABLE, PLEASE SEND A COPY OF YOUR TAX CERTIFICATE ***** SECTION 1. SALES AND USE TAX EXEMPTION CERTIFICATE Please indicate state or local taxing jurisdiction: Vendor: Gulf Great Lakes Packaging 1040 Maryland Ave. Dolton, IL. 60419 Single Purchase Certificate Blanket Certificate Purchaser’s registration or license number The undersigned certifies that the tangible personal property described herein purchased from Gulf Great Lakes Packaging is exempt from sales and use tax for the following reason: Resale as tangible personal property (attach copy of resale certificate) To be incorporated as a material or part of other tangible personal property to be produced for sale Other authorized exemption (described as) Description of property on which exemption is claimed: If marked as a blanket certificate, the certificate shall be considered a part of each order given to GGL and is to continue in force until revoked in writing. It is further understood and agreed that any property is used or consumed as tax free under this certificate in any manner which would not exempt the sale from tax, I agree to be personally liable for and undertake to pay the tax directly to the taxing authority. Purchaser’s Business Name Address Authorized Purchaser Title City State Zip Code Date SECTION 2. TAXABLE CERTIFICATE If your purchases are taxable, please complete the following information. Check the appropriate type of tax your company’s purchases are subject to: State County Local Business Name Authorized Purchaser Address Title City State Zip Code Date Shipment may be delayed until tax forms are returned complete

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