Please print this form then return to:
Mactown Motors
100 S. Heard
McLeansboro, IL  62859

SALES TAX EXEMPTION CERTIFICATE

If you are entitled to sales tax exemption, please complete the
certificate and return as soon as possible.  If you purchase tax
freee for a reason forwhich this form does not provide, please
send us a your special form or certificate.

Seller:	Mactown Motors
	100 S. Heard
	McLeansboro, IL  62859

    Purchaser:	_______________________________

      Address:	_______________________________

City, ST, Zip:	_______________________________

This is to certify that all merchandise purchased on and after this
date from the above named seller is for the purpose of resale.  I/We
will be responsible for Illinois ROT, Use Tax, and Local Tax, if any.

Signature of Purchaser:	____________________________

Purchaser's ROT Number:	____________________________

     Purchaser's Title:	____________________________

		  Date:	________________