| Business Name and Location Address |
Registration Effective |
Date Certificate Number |
This is to certify that all tangible personal property purchased or rented, real property rented, or services purchased on or after the above Registration Effective Date by the above business are being purchased or rented for one of the following purposes:
| Resale as tangible personal property. |
Re-rental as real property. |
Incorporation as a material, ingredient, or component part of tangible personal property that is being produced for sale by manufacturing, compounding, or processing. |
Re-rental as tangible personal property. |
Incorporation into and sale as part of the repair of tangible personal property by a repair dealer. |
| |
|
| Resale of services. |
Re-rental as transient rental property. |
This certificate cannot be reassigned or transferred, This certificate can only be used by the active dealer or its authorized employees. Misuse of this Annual Resale Certificate will subject the user to penalties as provided by law. Use signed photocopy for resale purposes.
| Presented To: |
________________________________ |
Presented By: |
________________________________ |
| |
(insert name of seller on photocopy) (date) |
|
Authorized Signature (Purchaser) (date) |
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