Dear
Customer,
Due to California Tax Regulations, verification of a tax exempt
permit is required. Please complete the form and fax it to (626)810-8313
as soon as possible. Please also provide a copy of your tax exempt
permit. Thank you.
Company
Information
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Billing Address
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Company
:__________________________________
Contact
Person: _____________________________
Phone
#:____________________________________
E-mail:
_____________________________________
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Address
1: ________________________________
Address
2: ________________________________
City
:____________________________________
State:_______
Zip:_________________________
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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 it 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: ______________________________________________________________________________
_______________________________________________________________________________________________________________
Signature:
X___________________________________________________ Date:___________________
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