Tax Exempt Form : Dollar Tree, Inc. (DLTR)

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Tax Exempt Form

*Required fields

Company making the purchase * (Not sure which option to pick? Click here for assistance)

Store Number or Store Address (required if FL, LA, TN, VT, or MS)

Description of Item(s) Purchased: *

US State the product is being shipped to (Select all that apply) *

Vendor / Supplier Information

Vendor Name: *

Vendor Address 1:

Vendor Address 2:

Vendor City:

Vendor State:

Vendor Zip Code:

Vendor Contact Email: *

Requestor Comments/Notes

Attach Documents *

Attach supporting documentation for this purchase (e.g. expired certificate, purchase order, quote, invoice or other)

Requestor Comments

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Tax Exempt Form

Tax Exempt Form

Vendor / Supplier Information

Requestor Comments/Notes

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