Sales Tax Resale Certificate Form

Sales Tax Resale Certificate Form
Provide the required information to certify your eligibility for sales tax exemption on resale purchases.
Seller's Business Name
Seller's Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Purchaser's Business Name
Purchaser's Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Purchaser's Tax ID or Resale Number (Do NOT enter government-issued personal ID numbers)
Type of Business
Description of Items to be Purchased for Resale
Reason for Exemption
Certification: I hereby certify that the information provided is true and correct, and that the goods purchased will be resold in the regular course of business. I understand that misuse of this certificate may result in penalties.
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