Dear Accounting Representative,
In compliance with Tax Code Regulation 1668, it is necessary to have a signed, dated resale
certificate on file to exempt your company from California Sales Tax.
Please complete the form below and fax it to us at (916) 772-2332.
CALIFORNIA – CERTIFICATE OF RESALE
(Name of Purchaser)
(Address of Purchaser)
I HEREBY CERTIFY: That I hold valid seller’s permit number ___________________ 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: Business Replication &
Print, Inc will be resold by me in the form of tangible personal property; provided, however, that in the
event any such property is used for any purpose other than ret ention, 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 amoun t.
Description of property to be purchased: media, printing and packaging material, software replication and
related services, other related items and special print aids.
Date: _____________, 2002
(Signature of Purchaser or Authorized Agent)