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Authorized Signature Form For Nontaxable Status O'Neal Steel, Inc. must have an authorized signature from a representative from your company. Please read the following statement and complete the four spaces below. Upon completing this form, please fax or mail it to O'Neal with your Tax Certificate. Fax: 205-599-8392, Attn: Accounts Receivable. Mail: Accounts Receivable Department, O'Neal Steel, Inc., P.O. Box 2623, Birmingham, AL 35202. I further certify that if any property so purchased tax free is used or consumed by the firm as to make it subject to tax we will pay the tax directly to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall be part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until canceled to us in writing or revoked by the state. Under penalties of perjury, I swear or affirm the information on this form is true and correct as to every material matter. Firm Name: __________________________________________________________
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