Get MI DoT 3372 2021-2022
Other documentation that sellers in the State of Michigan may accept are the Uniform Sales and Use Tax Certificate approved by the Multistate Tax Commission the Streamlined Sales and Use Tax Agreement Certificate of Exemption the same information in another format from the purchaser or resale or exemption certificates or other written evidence of exemption authorized by another state or country. Vendor s Name and Address SECTION 2 ITEMS COVERED BY THIS CERTIFICATE Check one of the following All items purchased. Limited to the following items SECTION 3 BASIS FOR EXEMPTION CLAIM For Lease. Enter Use Tax Registration Number For Resale at Retail. Enter Sales Tax License Number The following exemptions DO NOT require the purchaser to provide a number Agricultural Production. Enter percentage Church Government Entity Nonprofit School or Nonprofit Hospital Circle type of organization. Contractor must provide Michigan Sales and Use Tax Contractor Eligibility Statement Form 3520. For Resale at Wholesale. Reset Form Michigan Department of Treasury 3372 Rev* 09-18 Michigan Sales and Use Tax Certificate of Exemption INSTRUCTIONS DO NOT send to the Department of Treasury. Certificate must be retained in the seller s records. This certificate is invalid unless all four sections are completed by the purchaser. SECTION 1 TYPE OF PURCHASE A. One-Time Purchase Order or Invoice Number C. Blanket Certificate Expiration Date maximum of four years The purchaser hereby claims exemption on the purchase of tangible personal property and selected services made from the vendor listed below. This certifies that this claim is based upon the purchaser s proposed use of the items or services OR the status of the purchaser. Vendor s Name and Address SECTION 2 ITEMS COVERED BY THIS CERTIFICATE Check one of the following All items purchased* Limited to the following items SECTION 3 BASIS FOR EXEMPTION CLAIM For Lease. Enter Use Tax Registration Number For Resale at Retail* Enter Sales Tax License Number The following exemptions DO NOT require the purchaser to provide a number Agricultural Production* Enter percentage Church Government Entity Nonprofit School or Nonprofit Hospital Circle type of organization. Contractor must provide Michigan Sales and Use Tax Contractor Eligibility Statement Form 3520. For Resale at Wholesale. Industrial Processing* Enter percentage Nonprofit Internal Revenue Code Section 501 c 3 or 501 c 4 Exempt Organization* Nonprofit Organization with an authorized letter issued by the Michigan Department of Treasury prior to June 1994. Rolling Stock purchased by an Interstate Motor Carrier. Qualified Data Center Direct Pay - Authorized to pay use tax on qualified transactions directly to the State of Michigan under Account Number. Other explain SECTION 4 CERTIFICATION I declare under penalty of perjury that the information on this certificate is true that I have consulted the statutes administrative rules and other sources of law applicable to my exemption and that I have exercised reasonable care in assuring that my claim of exemption is valid under Michigan law.
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