Fillable Dell Business Purchase Verification Form (State University of New York at Buffalo)

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Dell Business Purchase Verification Form (State University of New York at Buffalo)

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The Dell Business Purchase Verification Form (State University of New York at Buffalo) form is 1 page long and contains:

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BROWSE STATE UNIVERSITY OF NEW YORK AT BUFFALO FORMS

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Dell Business Purchase Verification Form
I hereby certify:
1. Please list the
order number(s) that were placed using a business credit
card: _____________________________________________
2. The account for this credit card is in the name of (Please indicate
business name and personal name on credit card used to make
the purchase):
3. The last 4 digits of the credit card used on these orders is:
________________ (DO NOT INDICATE THE ENTIRE CREDIT CARD #)
4. The name of the organization/business that the order was placed and is
being used for: _____________________________________
please note: orders placed with a personal credit card are not
exempt from sales tax. This form is verification that a business credit card was
used for the orders in question.
Authorized representative signature
(Accounts payable, Purchasing , or an agent authorized to make business purchases is
consi
dered an authorized representative.)
NOTE: PLEASE ATTACH YOUR CERTIFICATE OF EXEMPTION WITH THIS FORM AND FAX TO THE DELL
TAX
DEPARTMENT: 1‐800‐433‐9023
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Dell Business Purchase Verification Form (State University of New York at Buffalo)

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Completed 2 January 2022

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