"Pa Sales Tax Exempton Form - PDF - PDF"
Page 1 of 1 BLANKET SALES/USE TAX 33 West Monroe Street th CERTIFICATE OF EXEMPTION 17 Floor COMPLETE AND FAX TO 312-441-0122 Chicago, IL 60603 p. 312-441-0124 Killerspin LLC is required by law to collect applicable sales and use taxes on all sales unless a valid exemption certificate is on file with Killerspin. Your Killerspin account will automatically be set up as taxable for sales and use tax purposes until such time as a properly executed Blanket Sales/Use Tax Certificate of Exemption is provided for each state to which Killerspin products are delivered. If you are purchasing product for resale or for any other exempt purpose, please complete the certificate below. Use copies of this form if multiple certificates are required for more than one state. Exemption Certificates are not valid for personal purchases. State or Local Jurisdiction: State Sales Tax #: (If you are a Louisiana or Virginia customer: please note that the State of Louisiana requires you to submit their form (LGST-9) and the State of Virginia requires you to submit VA form ST-10 in order to have your orders tax exempt. If you drop ship to any state shown in section 1, 2, 3 and/or 4 below, please follow the guidelines in the Drop Ship information section). The undersigned hereby certifies that the buyer is engaged in the general business of______________________________ and purchases of _________________________________ are exempt from sales and use tax for the following reasons: (check one box) For resale For a government agency claiming exemption under the laws of this state Other Blanket certificates shall continue in force until revoked and shall be considered a part of each order given by the undersigned unless the order otherwise specifies. If the material is later used by the undersigned for taxable purposes, the undersigned agrees to pay the appropriate and applicable tax directly to the proper authority. Company Name/DBA Address City State Zip Phone # Fax # Authorized Signature/Title Date I hereby certify under the penalties of perjury, that the property to be purchased by the use of this exemption certificate is to be used for an exempt purpose. Drop Ship Information: Please review the following information carefully and sign where applicable. Failure to sign the drop ship exemption will result in tax being charged on all orders drop shipped to the states indicated in Section 1 below. 1. Killerspin LLC is required by law to charge sales tax for each state where delivery of drop shipments is made unless you are exempt under the destination state’s law. The following states will accept your home state resale certificate as valid in their state: AK, AL, AR, AZ, CO, DE, GA, IA, ID, IL, IN, KS, KY, LA, ME, MI, MN, MO, MT, NC, ND, NJ, NH, NM, OH, OK, OR, PA, SC, TAX, UT, VA, VT, WA, WV AND WY. If you intend to drop ship into any of these states, please sign below. Signature for Drop Ship Exemption 2. New York Customers Only: New York requires Form ST-120 to be completed for drop shipments to be tax exempt. 3. CA, CT, MS, NE, RI, SD and WI require that you obtain a resale certificate from your customer for our sale to you to be exempt. 4. DC, FL, HI, MA, MD, NV, and TN require you to obtain your own certificate ID # in that state. If you do not currently have such an exemption, we are required to charge tax on drop shipments into such states. Please contact the appropriate state department(s) of revenue for further information.