ST80

Direct Selling Company Affidavit
Agreement for direct selling company to voluntarily collect and remit Minnesota 
sales tax on behalf of its direct sellers

                                                      Legal Name of Direct Selling Company                                                    Minnesota Tax ID Number

                                                      Doing Business As                                                                       Direct Selling Company’s Web Address, if any 

                                                      Business Address                                                                        City                  State ZIP Code
              Print or Type
                                                      Contact Name                                                                            Contact Email Address 

                                                      Describe the merchandise normally sold in your business.

                                              Business
Describe your 

                                                      We are a direct selling company and have direct sellers in Minnesota for whom we wish to collect the Minnesota sales tax. By 
                                                      signing this affidavit, we agree to:
                                                      • collect, report and remit sales tax using our Minnesota tax ID number for our Minnesota direct sellers who are not registered
                                                      to collect and remit Minnesota sales tax.
                                                      • collect the tax based on the actual selling price paid by the final purchaser of the items, or on the suggested retail selling price
                                                      if the actual selling price is not known.
                                                      • include all applicable state and local sales taxes in the tax collected.
                                                      • compute the sales tax for each direct seller at the rate applicable to the location where the items are shipped, as described in
                                                      Sales Tax Fact Sheet #168, Direct Selling Companies.
                           Agreement
                                                      We understand that this agreement may be revoked by the State of Minnesota or our company without a need to show cause. If 
                                                      this agreement is revoked for any reason, we agree to inform our Minnesota direct sellers in writing of their obligation to obtain 
                                                      their own Minnesota tax ID number.
                                                      This agreement supersedes any prior direct selling company agreements we may have with the Minnesota Department of Rev-
                                                      enue.
                                                      Effective date of agreement: 

                                                      I declare that the information on this affidavit is true and correct to the best of my knowledge and belief and that I 
                                                      am authorized to sign this form.
                                                      Signature of officer                                                      Print officer’s name

                                    Sign Here         Title                                                                     Daytime phone                             Date signed
                                                                                                                                (        )
                                                      Mail or fax to: Minnesota Revenue, Mail Station 6330, St. Paul, MN 55146-6330. Fax: 651-556-3102.
                                                      For more information, see Sales Tax Fact Sheet #168, Direct Selling Companies.  
                                                      The fact sheet and other tax-related information are available on our website at www.revenue.state.mn.us            .  
                                                      If you have questions, call 651-296-6181 or 1-800-657-3777.

(Rev. 2/18)