Resale Certificate - PDF

Document Sample
Resale Certificate - PDF Powered By Docstoc
					                                       Resale Certificate
                                  Please fill out the form below, and fax to.
                                    818/ 838-3501 or MAIL IT TO
                                            Cross For You
                                     12457 Gladstone Av. Unit: D
                                          Slymar, CA 91342




RESELLER'S PERMIT
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


_______________________________________________________________________________________________
             that the tangible personal property described herein which I shall purchase from:

                                            CROSS FOR YOU
             will be resold by me in the form of tangible personal property; PROVIDE, however;
             that in the even 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: _______________________________________
       _____________________________________________________________________
            Date:__________________, 20 ______ Signature ________________________________
              at _______________________________ Title _________________________________
                                            Printed Name
        Phone:(______)_____________________ of Purchaser ___________________________________
E-Mail Address __________________________________________________________________
Order Number __________________________________________________________________