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Resale certification must be on file prior to product shipping
CALIFORNIA RESALE CERTIFICATE
(Name of Company)
(Address of Company)
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
;
that the tangible personal property described herein which I shall purchase from:
will be resold by me in the form of tangible personal property; provided, however, that in the event any of
such property is used for 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 tax, measured by the purchase price of such property or other authorized amount.
Description of property to be purchased:
Date: 20 (Signature of Purchaser or Authorized Agent)
(Title)
Submit completed form with purchase order
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