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Sales and Use Tax Exemption Certificate (For U.S. Customers Only)

Sales and use tax form in .pdf format

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Sales and use tax form in .doc format

If you are exempt from sales and use taxes for any of the reasons listed below, you must complete this form in order for us to open an account for your company. Please fax it to 616-784-7775.

Issued to: Mor Electric Heating Assoc., Inc. (Seller)
5880 Alpine NW, Comstock Park, Michigan 49321
Tel.: (800)-442-2581, Tel.: (616) 784-1121, Fax: (616) 784-7775

I certify that the firm named below (Buyer):

Company Name


City, State, Zip

Is exempt from Sales and Use Tax by reason of the following:
_____ Purchases are for resale
_____ Purchases are for industrial processing
_____ Exempt charitable, religious or educational institution
_____ Interstate sale
_____ Some purchases are taxable, purchaser will advise tax status by confirming Purchase Order
_____ Other ______________________________________________________________________

I further certify that if any property purchased tax free is used or consumed by us as to make it subject to a sales or use tax, we will pay the tax due directly to the proper taxing authority when state law so provides.

Sales Tax Number ______________________________________________________________

Applicable State ________________________________________________________________

Authorized Signature __________________________________________________________

Title __________________________________________________________

Date _____/_____/_____

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We are a Distributor of Industrial, Commercial and Residential Heaters and Controls. Always consult manufacturers installation instructions for proper installation of the products or systems shown on this website. © Copyright 1999-2019 Mor Electric Heating Assoc., Inc.

5880 Alpine Ave. NW - Comstock Park, MI 49321  USA
Tel 616-784-1121 - 800-442-2581 - Fax 616-784-7775

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