Dealer Tax Exemption Submission

Legal Business Name

Authorized Contact First Name

Authorized Contact Last Name

Wholesale Account Email

Legal Business Address

State Where Tax Exemption Is Claimed

Sales Tax Permit / Exemption Number

Upload Resale / Tax Exemption Certificate

Upload a clear, complete copy of your resale or sales tax exemption certificate (PDF, JPG, or PNG). Please ensure all required information is visible. Incomplete documentation may delay approval.

I certify that I am authorized to submit this information on behalf of the business identified above. I confirm that the information and documentation provided are accurate and complete to the best of my knowledge, and that the claimed exemption applies to the purchases for which it will be used. I understand that submitting this form does not guarantee tax-exempt status and that approval is subject to review by Indy Concealment LLC.