Michigan Sales & Use Tax Exemption

Please complete the Michigan Form 3372 information below and upload your Sales Tax License, Tax Exemption Certificate, or other supporting exemption documentation.

Important: Submitting this form does not automatically make your account tax exempt. In The Mix Print Services must review and approve your documentation.

Michigan Department of Treasury — Form 3372 (Rev. 02-25)
Michigan Sales and Use Tax Certificate of Exemption

SECTION 1 — TYPE OF PURCHASE A. One-Time Purchase

Order or Invoice Number *

B. Blanket Certificate — Recurring Business Relationship C. Blanket Certificate — Expiration Date

Expiration Date * Maximum of four years.

Seller's Name Seller's Address

SECTION 2 — ITEMS COVERED BY THIS CERTIFICATE 1. All items purchased 2. Limited to the following items

Describe the items covered by this exemption *

SECTION 3 — BASIS FOR EXEMPTION CLAIM 1. For Lease

Sales Tax License or Use Tax Registration Number *

2. For Resale at Retail

Sales Tax License Number *

3. Direct Pay

Michigan Treasury Direct Pay Account Number *

4. Agricultural Production

Percentage Qualifying for Exemption * %

5. Government Entity / Nonprofit School / Nonprofit Hospital / Church / House of Religious Worship

Type of Organization *

6. Contractor 7. For Resale at Wholesale 8. Industrial Processing

Percentage Qualifying for Exemption * %

9. Nonprofit IRC Section 501(c)(3), 501(c)(4), or 501(c)(19)

Select Organization Type *

10. Nonprofit Organization With Michigan Department of Treasury Authorization Letter 11. Rolling Stock Purchased by Interstate Motor Carrier 12. Other

Explain the Exemption *

SECTION 4 — CERTIFICATION

I declare, under penalty of perjury, that the information on this certificate is true; that I have reviewed the laws applicable to my exemption; and that I have exercised reasonable care in determining that my claim of exemption is valid under Michigan law.

Business Name * Type of Business * Business Address * City * State * ZIP Code * Business Telephone Number * Name — Print or Type * Title * Date * I certify that the information provided above is true and that I am authorized to submit this exemption claim on behalf of the purchaser.

Sales Tax License / Exemption Documentation Upload Your Sales Tax License / Tax Exemption Certificate * Upload your current Sales Tax License, resale certificate, tax exemption certificate, IRS determination letter, Michigan Treasury authorization letter, or other primary documentation supporting your exemption. Additional Supporting Documentation Optional: Form 3520, IRS determination letter, nonprofit documentation, government documentation, or other exemption support.

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