Tax Exempt Form

  • If you'd prefer to print and fill out the application, download it here.
  • STATE OF OHIO
    DEPARTMENT OF TAXATION
    68 EAST GAY STREET, COLUMBUS, OHIO
    BLANK CERTIFICATE OF EXEMPTION
  • The undersigned hereby claims exemption to purchases of tangible personal property from:

    LEFELD WELDING &STEEL SUPPLIES,INC.
    DBA: LEFELD INDUSTRIAL & WELDING SUPPLIES
  • On and after (date) ___*enter date below*___ and certifies that this claim is based upon the purchaser proposed use of the items or services purchased, the activity of the purchaser, or both, as shown hereon:
  • Date Format: MM slash DD slash YYYY
  • Section I

  • Section II

  • Section III

  • Section IV

  • This certificate shall continue in force until revoked and shall be considered apart of each order given to the above named vendors unless the order specified otherwise.
  • Date Format: MM slash DD slash YYYY
  • View tax exempt reasons and classifications here.
  • This field is for validation purposes and should be left unchanged.