Sales and Use Tax Blanket Exemption CertificateThe purchaser hereby claims exception or exemption on all purchases of tangible personal property and selected services made under this certificate form.Powers Oil Ltd. dab Powers Oil and Propane 1681 W. Main St. Alliance, Ohio 44601 and certifies that the claim is based upon the purchaser's proposed use of the items or services, the activity of the purchase, or both, as shown hereon:Purchaser must state a valid reason for claiming exception or exemption.(Required)Purchaser Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Signature(Required)Title(Required)Date(Required) MM slash DD slash YYYY Vendor License (If Any)(Required)CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ
