Please note you MUST provide the User ID (log in name) you created on our website as well as all websites you will be selling on.
UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE – MULTIJURISDICTION
The below-listed states have indicated that this certificate is acceptable as a resale/exemption certificate for sales and use tax. The issuer and the recipient have the responsibility to determine the proper use of this certificate under applicable laws in each state, as these may change from time to time.
Health Mobius LLC
260 Shore Ct, Burr Ridge, IL 60527
I certify that
and is registered with the below-listed states and cities within which your firm would deliver purchases to us and that any such purchases are for wholesale, resale, or ingredients or components of a new product or service to be resold, leased, or rented in the normal course of business. We are in the business of wholesaling, retailing, manufacturing, leasing (renting) selling (California) the following:
I further certify that if any property or service so purchased tax free is used or consumed as to make it subject to a Sales or Use Tax we will pay the tax due directly to the proper taxing authority when state law so provides or inform the Seller for added tax billing. This certificate shall be a part of each order that we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked by thee city or state.
Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter.