| The following Ontario Retail Sales Tax Exemption Certificate in provided
for your convenience. Please print out the form, fill it in, sign
it and, fax it to us at (613)646-7382 |
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| ONTARIO RETAIL SALES
TAX |
| BLANKET PURCHASE EXEMPTION
CERTIFICATE |
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Blanket [___]
(Please check box if this is to be kept for 4 yrs. and
purchases refer to this certificate)
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| This certificate is invalid unless fully
completed and it expires at the end of four years from the date of
issuance. This certificate must be fully
completed by the purchaser and sent to the supplier when the purchaser claims
an exemption.
Under the provision of The Ontario Retail Sales Tax Act, I/We hereby
claim exemption from tax on the following goods or taxable services, contracts
of insurance of benefits plan:
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Print or Type |
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| Business Name: |
Print or Type |
| Business Address: |
Print or Type |
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| Vendor Permit Number (if applicable): |
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| Nature of Business: |
Print or Type |
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Signature of Purchaser or Authorized Official |
Date of Issue
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Every person who makes a false statement on a Purchase Exemption Certificate or misuses this
certificate is liable if convicted to a fine of not less than $500 plus an amount of not more than double the amount of the tax that should have been paid,
or the imprisonment for a term of not more than two years,or both. |
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