Tax Exempt Form

Business / Organization Information

Legal Name of Business or Organization *

Street Address *

City *

State *

ZIP Code *

Contact Name *

Email Address *

Phone Number *

Exemption Type

Select the type of exemption you are claiming. The matching fields will appear below.

ResaleMy business buys goods to resell them (reseller / wholesaler / retailer). Nonprofit / Tax-Exempt Organization501(c)(3) charity, religious organization, school, or government agency.

Resale Certificate Details

This section follows the Multistate Tax Commission Uniform Sales & Use Tax Resale Certificate.

Description of Business *

General description of property or services to be purchased from Hollywood DJ *

State of Registration *

Registration, Seller's Permit, or ID Number *

Additional States & Numbers (optional)

1. State Resale or Sellers Permit Certificate *

Upload your state resale certificate or seller's permit as proof of registration. PDF or image, max 5 MB per file.

2. Signed MTC Uniform Resale Certificate *

Download the MTC Uniform Resale Certificate (PDF), complete and sign it, then upload the signed copy here. PDF or image, max 5 MB per file.

Nonprofit / Exempt Organization Details

Organization Type *

501(c)(3) charity / nonprofit Religious organization Educational institution / school Government agency

Federal EIN / Tax ID *

State Where Exempt *

State Sales Tax Exemption Number *

Additional States & Exemption Numbers (optional)

Description of Organization & Intended Use of Purchases *

1. IRS 501(c)(3) Determination Letter or Proof of Exempt Status *

Upload your IRS 501(c)(3) determination letter or other proof of exempt status. PDF or image, max 5 MB per file.

2. Signed State Sales Tax Exemption Certificate *

Upload your signed state sales tax exemption certificate naming Hollywood MI Inc. dba Hollywood DJ as the seller. PDF or image, max 5 MB per file.

Certification

Authorized Signature - Full Name *

Title *

Date *

Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter, and that the purchases are exempt from sales/use tax for the reason indicated above. I further certify that if any property or service purchased tax free is used or consumed so as to make it subject to sales/use tax, the Buyer will pay the tax due directly to the proper taxing authority or inform the Seller for added tax billing.

Tax Exempt Form

Business / Organization Information

Exemption Type

Resale Certificate Details

Nonprofit / Exempt Organization Details

Certification

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