Tax Exempt Purchase Application

Complete this form to apply for tax-exempt status on bulk furniture purchases for registered businesses, non-profits, and government entities.

Section 1: Applicant Information

Legal Business Name

DBA / Trade Name

Federal Tax ID (EIN)

9-digit Employer Identification Number

State Tax Exempt Number

Organization Type

If Other, please specify

Primary Contact Name

Title / Position

Email Address

Phone Number

Street Address

City

State

ZIP Code

Intended Use

Estimated Annual Purchase Volume

Delivery Preference

Standard White Glove Self Pickup

Additional Notes / Special Requirements

I certify that the information provided is accurate and complete.

I confirm this organization qualifies for tax-exempt purchases under applicable state law.

I agree to notify Haven Loft Furniture if our exempt status changes.

Digital Signature (Full Name)

Date

Processing takes 3–5 business days. You'll receive confirmation at the email provided.