Mich. Admin. Code R. 205.65 - Churches and houses of religious worship
Rule 15.
CERTIFICATE TO BE EXECUTED WHEN TAX EXEMPT SALE IS MADE TO AN EXEMPT INSTITUTION OR AGENCY
The undersigned hereby certifies that the item or items being purchased are to be used or consumer in connection with the operation of the exempt institution for agency named in the space provided below, and that the consideration for this purchase moves from the funds of the designated institution or agency. In the event this claim is disallowed, the transferee promises to reimburse the seller for the amount of the tax involved.
___________________________________________________
Name of exempt institution or agency
DATE _______________________________
___________________________________________________
Signature and title of person making certification
Notes
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