Business Tax ID Form

If you are ordering directly from us for the first time, please complete the form and submit below. Once we have received and reviewed the form, we will confirm your order. Thank you.

Company Name*
Contact Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Fax
Email
Federal Identification #*
The undersigned hereby certifies that all items, except as indicated hereon, are purchases (please click all that apply):*
- Subject to sales tax (DeGroot is a wholesale business and unable to charge sales tax. If your business is subject to sales tax, we are unable to process your order.)
- Exempt from sales tax as they are for use or consumption in connection with the production of HORTICULTURAL or AGRICULTURAL products as a business enterprise.
- Exempt from sales tax as they are to be used or consumed in connection with the operation of an exempt institution or agency named in the space provided below, and that the consideration for this purchase moves from the funds of the designated institution or agency.
- Exempt from sales tax as they are used for INDUSTRIAL PROCESSING.
- Exempt from sales tax as they are for RESALE at WHOLESALE.
- Exempt from sales tax as they are for RESALE AT RETAIL. (If this box is checked, enter your sales tax license number below).
Sales Tax License #
Electronic Signature*
By entering your full name in the box provided, you confirm that this serves as your electronic signature and should determination be made that any or all of this merchandise is used for taxable purpose, it is agreed that tax, penalty, and interest, will be paid to the seller.
Date*
Month
Day
Year
CAPTCHA