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					                                       ATTENTION CUSTOMERS
In order to comply with the majority of state and local sales tax law requirements, MULTI-PLASTICS, INC. must
have in its files a properly executed exemption certificate from all of its customers who claim sales tax exemption.
If MULTI-PLASTICS, INC. does not have this certificate, it is obligated to collect the tax for the state in which the
property is delivered.
If the buyer is entitled to sales tax exemption, buyer should complete the certificate and send it to MULTI-
PLASTICS, INC. at its earliest convenience. If buyer purchases tax free for a reason for which this form does not
provide, buyer should send MULTI-PLASTICS, INC. its special certificate or statement.

This form of certificate has been determined to be acceptable to the following states when used in compliance
with their laws:
California, Delaware, Florida, Hawaii, Indiana, Kentucky, Louisiana, Mississippi, Montana, New
Hampshire, New Jersey, New York, North Carolina, Ohio, Oregon, Puerto Rico, Virginia

                            BLANK CERTIFICATE OF EXEMPTION
                                       SALES TAX EXEMPTION FORM

The undersigned         Vendee          ______________________________________________ hereby certifies:
                        Address         ______________________________________________
                        City, State, Zip _____________________________________________

   1. that it is a retail,      wholesale,     non-profit organization operating in the state(s) indicated above
   2. that it holds the sales tax license or permit number(s) indicated below (list number(s) if applicable)
   3. that all the tangible personal property purchased from MULTI-PLASTICS, INC. is exempt from sales and
      use tax for the following reasons (check applicable box):

   1.       For resale, in the regular course of business, in the form in which the tangible property is received.
   2.       For use or consumption as a material, ingredient, or component part for incorporation into personal
         property produced for sale.
   5a.      Sale to a church or
   5b.      other not-for-profit organization, operated exclusively for charitable purposes.

   Other authorized exemption (describe): ____________________________________________________
   This certificate shall be considered a part of each order given by Vendee from and after the effective date hereof, unless
   such order shall otherwise specify. This certificate shall continue in full force and effect unless and until revoked by the
   Vendee. The Vendee understands and agrees that if it uses and property purchased tax-exempt under this certificate in
   any manner which would not exempt the sale from sales tax, the Vendee becomes the user or consumer of such property,
   and as such assumes liability for the sales tax and interest and penalty thereon, if any.

   State      _____________________________ License Number      ___________________________
   Date       _____________________________ Signature           ___________________________
   Federal Tax ID# ________________________ Name, Title (print) ___________________________
   Return form to: MULTI-PLASTICS, INC. 7770 N. CENTRAL DR. LEWIS CENTER, OH 43035
This form of certificate has been determined to be acceptable to the following states when used in compliance
with their laws:
Alabama, Alaska, Arizona*, Arkansas, Colorado, Connecticut, District of Columbia, Georgia, Idaho,
Illinois**, Iowa, Kansas, Maine**, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska,
Nevada, New Mexico, North Dakota, Oklahoma*, Pennsylvania, Rhode Island, South Carolina, South
Dakota, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin***, West Virginia, Wyoming
* Arizona and Oklahoma hold a seller liable for sales tax due on any sales with respect to which an exemption
certificate is found to be invalid, for whatever reason.
** Illinois and Maine do not have an exemption on sales of property for subsequent lease or rental.
***Wisconsin allows this certificate to be used to claim a resale exemption only when the item will be resold
in the same form. Wisconsin does not permit this certificate to be used to claim any other type of exemption.

      Issued to: MULTI-PLASTICS, INC. Address: 7770 N. CENTRAL DR. LEWIS CENTER, OH 43035

I certify that
Name of Firm (Buyer)                                                       Is engaged as a registered
Street Address or PO Box No.                                                    Retailer
                                                                                Lessor (*See note above)
                                                                                Other (Specify) ________________
City, State, Zip                                                                                                        and

is registered with the below listed states and cities within which your firm would either deliver purchases to us and that
any such purchases are for wholesale, resale, ingredients or components of a new product to be resold, leased or rented in
the course of our business. We are in the business of wholesaling, retailing, manufacturing, leasing (renting) the

Description of Business:

City or State            State Registration or ID No.        City or State                 State Registration or ID No.

I further certify that if any property so purchased tax free is used or consumed by the firm as to make it subject to Sales
or Use Tax we will pay the tax due direct to the proper taxing authority when state law so provides or inform the seller
for added tax billing. This certificate shall be part of each order which we may hereafter give to you, unless otherwise
specified, and shall be valid until canceled by us in writing or revoked by the city or state.

General description of product to be purchased from the seller: Plastic Film.
Under penalties of perjury, I swear or affirm that the information on this form is true and correct to every material matter.

Authorized Signature (Owner, Partner or Corporate Officer)              Title                               Date