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RESALE CERTIFICATE Purchaser/ Business Name: _____________________________________________ Address: ___________________________________________________ City: ____________________________ State: _______ Zip: ______ Phone: __________________________ I HEREBY CERTIFY, that I hold valid seller's permit NO. _______________ STATE: _______ 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: HERITAGE, ITS SUBSIDIARIES & AFFILIATES 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 for the tax, measured by the purchase price of such property. Description of property to be purchased: NUMISMATIC ART/DEC ARTS/ANTIQUES COMICS/MOVIE POSTERS JEWELRY & TIMEPIECES CURRENCY SPORTS COLLECTIBLES AMERICAN, BOOKS, MAN’S ENTERTAINMENT MEM’BL Print names of authorized purchaser(s): ___________________________________________________ By: ________________________ Title: ______________ Date: __________ (Signature of owner of seller’s permit) A VALID SELLER’S PERMIT MUST ACCOMPANY THIS SIGNED FORM IN ORDER TO QUALIFY FOR EXEMPT DEALER STATUS..
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