Michigan Tax Exemption Form Download Form (PDF) "*" indicates required fields SECTION 1: CHECK ONE OF THE FOLLOWING One time purchase Order or Invoice #: Blanket certificate Expiration date, maximum of four years SECTION 1: CHECK ONE OF THE FOLLOWING* One time purchase Blanket certificate Order or Invoice #: Expiration date, maximum of four years: The purchaser hereby claims exemption on the purchase of tangible personal property and selected services made from the vendor listed below. This certifies that this claim is based upon the purchaser’s proposed use of the items or services, OR the status of the purchaser. SECTION 2: ITEMS COVERED BY THIS CERTIFICATE (Check one of the following)* All items purchased. Limited to the following items:
