Provide Tax Exemption Form or Resale Certificate *

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Supported format: JPG, JPEG, PNG, PDF

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The state that issued your exemption certificate. *

Please enter the tax exemption number issued to you by your state. If your state did not issue you a tax exemption number, please use the the first available to your organization: FEIN (federal employer identification number), Taxpayer Identification Number (TIN), or FDN (foreign diplomat number). *

Please select the Exemption Number type you entered in the question above. *

The effective date of your tax exemption. If you already have a valid tax exemption certificate issued by your state, then this should be today's date. If you have a certificate that will become valid on a future date, enter that future date here. *

If your exemption certificate has an expiration date, enter it here.

Please select the one that best describes your business activities. Most of our customers select "Manufacturing", "Retail Trade," or "Wholesale Trade. *

Select the option that identifies the reason for exemption. Nearly all of our exempt customers fall under 'Resale.' *

Please list the name of the entity, business or individual that was issued the exemption number you provided in question #2. If your business typically operates under a separate name (DBA), please provide that as well.

Customer Name *

Street Address

Street Address (cont'd)

City *

State *

Zip Code

Thank you for your submission!

We will verify your information with your state and then contact you regarding your tax-exempt status. Please note that you are not considered tax-exempt with MosleyLane until you receive confirmation from us.

If you have any questions, click here to contact us!

Thank you for your submission!

If you have any questions, click here to contact us!

Request Tax Exemption

Fresh + Clean

COLLECTION

APOTHECARYHerbal fusion of rosemary, earthy sage, fir needle, cedar leaf and green floral

COTTON-TEEAiry and sun-drenched fragrance of citrus, watery cyclamen, geranium and warm amber

DEW + VINEGarden-fresh notes of dewy crushed tomato leaf lead to a heart of lemon peel, grapefruit and bergamot and finish with a zing of rosemary

EUCALYPTUS MINTSpearmint and chilly eucalyptus with undertones of lemon verbena, juniper and sea salt

LAVENDER FIELDSLavender accented with hints of camphor, bergamot and peppery notes

SEAS THE DAYLand and water collide with ozonic salty sea air, ocean mist, sea greens, jasmine, violet and citrus

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APOTHECARY

Herbal fusion of rosemary, earthy sage, fir needle, cedar leaf and green floral

COTTON-TEE

Airy and sun-drenched fragrance of citrus, watery cyclamen, geranium and warm amber

DEW + VINE

Garden-fresh notes of dewy crushed tomato leaf lead to a heart of lemon peel, grapefruit and bergamot and finish with a zing of rosemary

EUCALYPTUS MINT

Spearmint and chilly eucalyptus with undertones of lemon verbena, juniper and sea salt

LAVENDER FIELDS

Lavender accented with hints of camphor, bergamot and peppery notes

SEAS THE DAY

Land and water collide with ozonic salty sea air, ocean mist, sea greens, jasmine, violet and citrus