Credit Application at BEHCO

SHIP TO

OFFICERS/OWNERS OF BUSINESS

BANKING INFORMATION

TRADE REFERENCES

TERMS OF SALE

PAYMENT: All accounts are due in 30-days from invoice date unless BEHCO supplies a written exception. A 1.5% finance charge may be added to all past due accounts. BEHCO retains the right to refuse any extension of credit due to account delinquency. RETURNS GOOD POLICY: Authorization to return a product needs to be obtained from the customer service department regardless of the reason for return. We will then issue a Return Goods Authorization number (RGA). Only items returned with an RGA # will be accepted. Credit on authorized returns is subject to our inspection and restocking fees may apply. MINIMUM ORDERS: Cash sales minimum is $25.00 Open account sales is $50.00

INSTRUCTIONS: DO NOT send to the Department of Treasury. Certificate must be retained in the seller’s records.

This certificate is invalid unless all four sections are completed by the purchaser.

SECTION 1: TYPE OF PURCHASE

The purchaser hereby claims exemption on the purchase of tangible personal property and selected services made from the vendor listed below. This certifies that this claim is based upon the purchaser’s proposed use of the items or services, OR the status of the purchaser.

SECTION 2: ITEMS COVERED BY THIS CERTIFICATE

SECTION 3: BASIS FOR EXEMPTION CLAIM

SECTION 4: CERTIFICATION

I declare, under penalty of perjury, that the information on this certificate 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.

Instructions for completing Michigan Sales and Use Tax Certificate of Exemption (Form 3372)

Purchasers may use this form to claim exemption from Michigan sales and use tax on qualified transactions. It is the Purchaser’s responsibility to ensure the eligibility of the exemption being claimed. All claims are subject to audit. Non-qualified transactions are subject to tax, statutory penalty and interest.

Sellers are required to maintain records, paper or electronic, of completed exemption certificates for a period of four years. Michigan does not issue “tax exempt numbers” and a seller may not rely on a number for substitution of an exemption certificate. Other documentation that sellers in the State of Michigan may accept are the Uniform Sales and Use Tax Certificate approved by the Multistate Tax Commission, the Streamlined Sales and Use Tax Agreement Certificate of Exemption, the same information in another format from the purchaser, or resale or exemption certificates or other written evidence of exemption authorized by another state or country.

SECTION 1:

Place a check in the box that describes how you will use this certificate.

A) Choose “One-Time Purchase” and include the invoice number this certificate covers.

B) Choose “Blanket Certificate” 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.

C) Choose “Blanket Certificate” and enter the expiration date (maximum four years) when there is a period of more than 12 monthsbetween sales transactions.

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:

Place a check in the box that applies and provide the additional information requested for that exemption. The exemptions listed are the most common. If the exemption you are claiming is not listed use “Other” and enter the qualifying exemption.

SECTION 4:

Use the number that describes your business or explain any other business type not provided.

Print the name of the business, address, city, state and ZIP code. Sign and provide your title (i.e. owner, president, treasurer, etc.). Provide your printed name and date the certificate.

THE COMPLETED CERTIFICATE MUST BE RETAINED IN YOUR RECORDS IN THE EVENT OF AN AUDIT.

DO NOT SEND THIS EXEMPTION CERTIFICATE TO THE DEPARTMENT OF TREASURY.