SALES TAX EXEMPTION CERTIFICATE
Illustrative layout
1BUYER
Buyer: Riverside Community Charity
Address: 90 Main Street, Madison, WI 53703
2SELLER
Seller: Midwest Equipment Supply Inc.
3REASON FOR EXEMPTION
Purchaser is a registered non-profit organisation
4REGISTRATION NUMBER
State exemption ID: on the form
Issuing state: Wisconsin
5DESCRIPTION OF PURCHASE
Office equipment for charitable use
Blanket certificate for repeat purchases
6CERTIFICATION
Signed under penalty of perjury
Name and title: C. Alvarez, Treasurer
7DATE AND SELLER RECORD
Signed: 08 Oct 2026
Received and filed: 09 Oct 2026
Sample for illustration. Company names, numbers, tax registrations and bank details are fictional.