Fillable Michigan Sales and Use Tax Certicate of Exemption (Michigan)

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Michigan Sales and Use Tax Certicate of Exemption (Michigan)

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The Michigan Sales and Use Tax Certicate of Exemption (Michigan) form is 1 page long and contains:

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  • 10 check-boxes
  • 25 other fields

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Michigan Department of Treasury
3372 (Rev. 01-21)
Michigan Sales and Use Tax Certicate of Exemption
This exemption claim should be completed by the purchaser, provided to the seller, and is not valid unless the information in all four sections
is complete. Do not send a copy to Treasury unless one is requested.
SECTION 1: TYPE OF PURCHASE Check one of the following:
A. One-Time Purchase
Order or Invoice Number: _____________________
C. Blanket Certicate
Expiration Date (maximum of four years):_________________
B. Blanket Certicate. Recurring Business Relationship
The purchaser completing this form hereby claims exemption from tax on the purchase of tangible personal property or services purchased from the
seller named below. This claim is based upon: the purchaser’s proposed use of the property or services; OR the purchaser’s exempt status.
Seller’s Name and Address
SECTION 2: ITEMS COVERED BY THIS CERTIFICATE
Check one of the following:
1. All items purchased.
2. Limited to the following items: _____________________________________________________________________________________
SECTION 3: BASIS FOR EXEMPTION CLAIM
Check one of the following:
1.
For Lease. Purchaser will lease the property and elects to pay tax
based on rental receipts. Enter sales tax license or use tax registration number:_______________________________
2. For Resale at Retail. Enter Sales Tax License Number: _______________________
3. Direct Pay - Authorized to pay use tax on qualied transactions directly to Michigan Treasury under account number: ___________________
The following exemptions DO NOT require the purchaser to provide a number:
4. Agricultural Production. Enter percentage: ______%
5.
Government Entity (U.S. or its instrumentalities, State of Michigan or its political subdivisions), Nonprot School, Nonprot Hospital,
Church or House of Religious Worship (circle type of organization)
6. Contractor (provide Michigan Sales and Use Tax Contractor Eligibility Statement (Form 3520)).
7. For Resale at Wholesale.
8. Industrial Processing. Enter percentage: ______%
9. Nonprot Internal Revenue Code Section 501(c)(3), 501(c)(4), or 501(c)(19) Exempt Organization.
10.
Nonprot Organization with an authorized letter issued by Michigan Department of Treasury prior to July 17, 1998 (sales tax) or
June 13, 1994 (use tax).
11. Rolling Stock purchased by an Interstate Motor Carrier.
12. Other (explain):
SECTION 4: CERTIFICATION
I declare, under penalty of perjury, that the information on this certicate is true, that I have consulted the statutes, administrative rules and other
sources of law applicable to my exemption, and that I have exercised reasonable care in assuring that my claim of exemption is valid under Michigan
law. In the event this claim is disallowed, I accept full responsibility for the payment of tax, penalty and any accrued interest, including, if necessary,
reimbursement to the vendor for tax and accrued interest.
Business Name Type of Business (see codes on page 2)
Business Address City, State, ZIP Code
Business Telephone Number (include area code) Name (Print or Type)
Signature Title Date Signed
Reset Form
3372, Page 2
Instructions for completing Michigan Sales and Use Tax Certicate of Exemption (Form 3372)
Purchasers may use this form to claim exemption from Michigan sales and use tax on qualied transactions. All elds must be
completed; however, if provided to the purchaser in electronic format, a signature is not required. All claims are subject to audit. The
purchaser must ensure eligibility of the exemption claimed; a purchaser who improperly claims an exemption is liable for tax, penalty,
and interest, with limited exceptions.
Sellers: Michigan does not issue “tax exempt numbers” and a seller is not permitted to rely on a number in lieu of a valid exemption
claim. Sellers are required to maintain proper records of exempt sales, including exemption forms or the same information in another
format. Records may be kept electronically. If the exemption certicate is received in electronic format, a signature is not required. A
seller who does not comply with these requirements may be liable for tax, penalty, and interest. See Revenue Administrative Bulletin
2016-14 for more information. All claims are subject to audit.
SECTION 1:
A) Choose “One-Time Purchase” and include the invoice number this certicate covers.
B) Choose “Blanket Certicate” if there is a “recurring business relationship.” This exists when a period of not more than 12 months
elapses between sales transactions between the seller and purchaser. Parties do not need to renew this blanket exemption claim as
long as the recurring business relationship exists.
C) Choose “Blanket Certicate” and enter the expiration date (maximum four years) when there may be a period of more than 12
months between sales transactions. This option is best when purchaser and seller anticipate more than one exempt transaction
before the expiration date but do not have or may not maintain a recurring business relationship.
SECTION 2:
Place a check in the box for “All items purchased” or choose “Limited to” and list the items that are covered by the exemption claim.
SECTION 3:
Check the box that applies and, if applicable, provide the required information. The exemptions listed are the most common. If the
exemption you are claiming is not listed, check “Other” and enter the qualifying exemption.
SECTION 4:
Purchaser must complete Section 4. A signature is only required if a paper form is used; in that case, the purchaser should sign and
provide their title (for example, Purchasing Manager, President, Owner). For Type of Business, enter the number from the following
list that best describes the purchaser’s business.
01 Accommodations 10 Utilities
02 Agricultural 11 Wholesale
03 Construction 12 Advertising, newspaper
04 Manufacturing 13 Non-Prot Hospital
05 Government 14 Non-Prot Educational
06 Rental or leasing 15 Non-Prot501(c)(3), 501(c)(4), or 501(c)(19)
07 Retail 16 Other (enter code and write in business type)
08 Church
09 Transportation
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Michigan Sales and Use Tax Certicate of Exemption (Michigan)

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Completed 3 March 2022

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