Resale
Certificate
Here is a sample of request for a Resale
Certificate
RESELLER'S PERMIT
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Firm Name / Company: _________________________________________________________ |
Address of
Purchaser:
_________________________________________________________________ |
| I HEREBY
CERTIFY, |
| That I
hold valid seller’s permit No.
__________________________________________ |
Issued pursuant to the
Sales and Use Tax Law;
that I am engaged in the business of selling |
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| that the tangible personal
property described herein which I shall purchase from: |
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<% = SiteAdap_CompanyShortName %>_
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will be resold by me in the form of tangible personal property; PROVIDE,
however;
that in the even any of such property is usedfor any purpose other than
retention,
demonstration, or display while holding it for sale in the regular
course of
business. It is understood that I am required by the Sales and Use Tax
Law to
report and pay for the tax, measured by the purchase price of such
property. |
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| Description of
property to be Purchased:
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Date:__________________, 20 ______ Signature
________________________________________ |
| at
_______________________________ Title
____________________________________________ |
Printed Name
Phone:(______)________________ of Purchaser
_________________________________________ |
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E-Mail Address
_______________________________________________________________________
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Order Number
_______________________________________________________________________
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