Common use of Sign here Clause in Contracts

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser Print Name Here Title Date Streamlined Sales and Use Tax Agreement Certificate of Exemption Multistate Supplemental Name of Purchaser: STATE Reason for Exemption Identification Number (If Required) AR* GA IA IN KS KY MI MN NC ND NE NJ NV OH OK RI SD TN* UT VT WA WI WV WY *SSUTA Direct Mail provisions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. XX XX XX

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser authorized purchaser Print Name Here name here Title Date 51A260 (1-12) Page 2 Streamlined Sales and Use Tax Agreement Certificate of Exemption Multistate Exemption: Multi–state Supplemental Name of Purchaser: STATE purchaser State Reason for Exemption Identification Number (If Required) AR* AR GA IA IN KS KY MI MN NC ND NE NJ NV OH OK RI SD TN* TN UT VT WA WI WV WY *SSUTA Direct Mail provisions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. XX XX XX XX XX XX

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser Print Name Here Title Date SSTGB Form F0003 Exemption Certificate (5/10/11) Streamlined Sales and Use Tax Agreement Name of Purchaser Certificate of Exemption Multistate Multi-state Supplemental Name of Purchaser: STATE Reason for Exemption Identification Number (If Required) AR* AL AR FL GA IA IN KS KY MI MN NC ND NE NJ NV OH OK LI RI SD TN* TN UT VT WA WI WV WY *SSUTA Direct Mail provisions providions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. XX XX XX XX XX XX XX

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser Print Name Here Title Date Streamlined Sales and Use Tax Agreement Certificate of Exemption Multistate Supplemental Name of Purchaser: STATE Reason for Exemption Identification Number (If Required) AR* GA IA IN KS KY MI MN NC ND NE NJ NV OH OK RI SD TN* UT VT WA WI WV WY *SSUTA Direct Mail provisions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. WY XX XX XX

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser Print Name Here Title Date Streamlined Sales and Use Tax Agreement Certificate of Exemption Multistate SSTGB Form F0003 Exemption Certificate (2/22/08) Multi-state Supplemental Name of Purchaser: Purchaser STATE Reason for Exemption Identification Number (If Required) AR* GA AR IA IN KS KY MI MN NC ND NE NJ NV OH OK RI SD TN* TN UT VT WA WI WV WY *SSUTA Direct Mail provisions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. XX XX XX

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser Print Name Here Title Date SSTGB Form F0003 Exemption Certificate (8/27/09) – Wisconsin Revisions effective October 1, 2009 S-211-SST (R. 7/10) Streamlined Sales and Use Tax Agreement Certificate of Exemption Multistate Multi-state Supplemental Name of Purchaser: Purchaser STATE Reason for Exemption Identification Number (If Required) AR* AR GA IA IN KS KY MI MN NC ND NE NJ NV OH OK RI SD TN* TN UT VT WA WI WV WY *SSUTA Direct Mail provisions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. XX XX XX XX XX XX XX

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser authorized purchaser Print Name Here name here Title Date 51A260 (2-10) Page 2 Streamlined Sales and Use Tax Agreement Certificate of Exemption Multistate Exemption: Multi–state Supplemental Name of Purchaser: STATE purchaser State Reason for Exemption Identification Number (If Required) AR* GA AR IA IN KS KY MI MN NC ND NE NJ NV OH OK RI SD TN* TN UT VT WA WI WV WY *SSUTA Direct Mail provisions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. XX XX XX XX XX

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Signature of Authorized Purchaser Print Name Here Title Date Streamlined Sales and Use Tax Agreement Certificate of Exemption Multistate Multi-state Supplemental Name of Purchaser: Purchaser STATE Reason for Exemption Identification Number (If Required) AR* GA AR IA IN KS KY MI MN NC ND NE NJ NV OH OK RI SD TN* TN UT VT WA WI WV WY *SSUTA Direct Mail provisions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. XX XX XX

Sign here. I declare that the information on this certificate is correct and complete to the best of my knowledge and belief. Xxxxxxx Xxx Executive Director 09/01/2023 Signature of Authorized Purchaser Print Name Here Title Date Streamlined Sales and Use Tax Agreement Certificate of Exemption Multistate Supplemental Name of Purchaser: STATE Reason for Exemption Identification Number (If Required) AR* GA IA IN KS KY MI MN NC ND NE NJ NV OH OK RI SD TN* UT VT WA WI WV WY *SSUTA Direct Mail provisions are not in effect for Arkansas and Tennessee. The following nonmember states will accept this certificate for exemption claims that are valid in their respective state. SSUTA Direct Mail provisions do not apply in these states. XX XX XX