Sales Tax Exemption: Intake Form

Please submit the following information via this online form, which is encrypted with SSL to help ensure the data you enter is secure.

Name*
Prefix First Middle Last Suffix
Email*
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Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization Information
Organization Name*
Please include the full legal organization name including punctuation and the entity suffix (LLC, Inc., etc.)
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Organizational Title(s)
Examples: President, CEO, Director, Member, etc.
Organizational Activities*
General description of what the organization does, or which industry it is in.
Type of Retail Sales Made*
Purchasing Agent Name and Organizational Title
A purchasing agent purchases equipment, materials, and services for use by the organization. An officer of the organization may be the purchasing agent.
Disbursement Agent Name and Organizational Title*
A disbursement agent allocates the purchased equipment, materials, and services through the organization. An officer of the organization may be the disbursing agent.
Additional Information
Please include any additional information you would like our attorneys to know.
Disclaimer*
Our attorneys may review the information you submit for the purposes described on this website. The use of this form for communication with our firm does not establish an attorney-client relationship. Our review of the information sent to us will not preclude us from representing any other client if confidential information is sent through this form.
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Organization Information