Resale Certificate Form

June 16, 2011

A resale certificate form is a document that can be used to legally confirm the tax exemption status of a business. This certificate must be taken on a timely basis and should include some specific information. The certificate may be in any form like a note, memo or letter. Below is a sample resale certificate form.
Sample Resale Certificate Form


I hold a legitimate seller’s permit number: _________________________
This certificate is for the purchase from _________________________ (vendor’s name) of the items in 4 below.
I will resell the item(s) listed in 4 below, which I am purchasing under this resale certificate and I will do so prior to making any use of the items other than demonstration and display while holding the items for sale.
Description of items to be purchased for resale:



I have read and understood the following



Name of purchaser: _________________________

Signature of purchaser: _________________________

Signature of authorized representative: _________________

Address of purchaser: _____________

Telephone: ___________


Download Resale Certificate Form In Word Format

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