Sales and/or Use Tax | Blanket Certificate of Exemption

Company

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The undersigned hereby certifies that the articles of tangible personal property purchased from A&A Candy Company Inc. as of the date selected below are exempt from sales and/or use tax in the state(s) listed below are:

Date(Required)

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For Resale

To be incorporated as an ingredient or component part of other tangible personal property to be fabricated, compounded or manufactured for sale.

Other (If selected, please specify below.)

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*Buyer will use due care to see that the reason for exemption is valid in the state for which this certificate is issued.

State & Sales Tax Registration Information(Required)

*If adding multiple States and Sales Tax Registration #s, please select the + at the end of the row to add another row.

State

Sales Tax Registration #

*This certificate shall continue in force until revoked and shall be considered a part of each order given to the above named seller unless the order specifies otherwise. Full liability is hereby assumed for the payment of any sales tax or use tax due in the event that the property purchased is deemed taxable by the taxing authority or if it is used or consumed for purposes other than indicated.

Description of Business

Description of Products Purchase

Business Name(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Please acknowledge your agreement to follow these conditions for all purchases that you or your company may make, by signing and entering today’s date below.

Date(Required)

Title of the person signing(Required)

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