California - Certificate of Resale

Name of Purchaser: ____________________________________________
Address of Purchaser: ____________________________________________

I HEREBY CERTIFY: That I hold valid seller's permit No.___________issued pursuant to
the Sales Use Tax Law; that I am engaged in the business of selling

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

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will be resold by me in the from 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 tax, measured by the purchase price of such property or other authorized amount. Description of property to be purchased:
___________________________________________________________________
___________________________________________________________________
Date:_____________ (MM/DD/YY)
Signature of Purchaser or Authorized Agent:

X_________________________________   Title: ___________________________

0068-2 California Resale Certificate EZ49C


Print this form, fill it out, then fax it to (909) 884-1408