01-339
(Rev.9-07/6)
TEXAS SALES AND USE TAX RESALE CERTIFICATE
Name of purchaser, firm or agency as shown on permit
Phone (Area code and number)
Address (Street & number, P.O. Box or Route number)
City, State, ZIP code
Texas Sales and Use Tax Permit Number (must contain 11 digits)
Out-of-state retailer's registration number or Federal Taxpayers Registry (RFC) number for retailers based in Mexico
(Retailers based in Mexico must also provide a copy of their Mexico registration form to the seller.)
I, the purchaser named above, claim the right to make a non-taxable purchase (for resale of the taxable items
described below or on the attached order or invoice) from:
Seller:
Street address:
City, State, ZIP code:
Description of items to be purchased on the attached order or invoice:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Description of the type of business activity generally engaged in or type of items normally sold by the purchaser:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
The taxable items described above, or on the attached order or invoice, will be resold, rented or leased by me within the geographical
limits of the United States of America, its territories and possessions or within the geographical limits of the United Mexican States, in
their present form or attached to other taxable items to be sold.
I understand that if I make any use of the items other than retention, demonstration or display while holding them for sale, lease or rental,
I must pay sales tax on the items at the time of use based upon either the purchase price or the fair market rental value for the period
of time used.
I understand that it is a criminal offense to give a resale certificate to the seller for taxable items that I know, at the time of purchase, are
purchased for use rather than for the purpose of resale, lease or rental, and depending on the amount of tax evaded, the offense may
range from a Class C misdemeanor to a felony of the second degree.
Purchaser
Title
Date
This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts.
Resale Certificate
State of Oklahoma
(Name or Purchaser)
(Address of Purchaser)
I HEARBY CERTIFY: that I hold a 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:
(Name of Vendor)
Will be resold by me in the form of 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: _______________________________________
Printed Name:____________________________
Signature ________________________________
(Purchaser or Authorized Agent)
Title: ___________________________________
Date: ___________________________________
R-1042 (10_08)
Louisiana Resale Certificate
Sales Tax Exemption
Certificate for Purchases for Resale
R.S. 47:301(10)
Please print or type.
Purchaser Information
Name of purchaser, as shown on the sales tax account
Sales Tax Account Number (10 digits)
Address
Telephone
City
State
ZIP
Purchaser’s Type of Business
Description of purchaser’s business activity or items sold:
I, the purchaser, certify that all materials, goods, merchandise, and services purchased from the seller named below are for resale as
tangible personal property, either in the same form as purchased or to be added as a recognizable, identifiable, and beneficial component
of a new product. I further certify that all tax-exempt purchases will be resold in the normal course of our business.
I understand that if I use any of the items other than for resale, I must pay sales tax at the time of use. If this purchase is later found to be
subject to tax, I, the purchaser, assume full liability for the tax.
Seller Information
Seller
Address (Street & number or P.O. Box)
City
State
ZIP
Any purchaser or agent who fraudulently signs this certificate without intent to use the taxable items for resale is subject to all the penalties
provided for by Title 47 of the Louisiana Revised Statutes and collection will be pursued against the seller or purchaser for any taxes,
penalties and interest due.
Purchaser’s Declaration
Name
Title
Signature
Date (mm/dd/yyyy)
X
State of Mississippi Resale Certificate
To:______________________________________________________________
The undersigned hereby certifies that the merchandise purchased on each order
we shall give, and until this notice is revoked by us in writing, is purchased for
resale as tangible personal property or resale as a service subject to tax. As
purchaser of such goods and services, we are solely responsible for any sales or
use tax due thereon.
We further agree to reimburse you for any and all sales and use tax which you
became legally obligated to pay to the State of Mississippi on orders which you
received from us. It is our intention and purpose to indemnify and hold you
harmless for all costs incurred by you for your reliance on this Resale Certificate
furnished by us.
SALES TAX REGISTRATION
OF PURCHASE:___________________________
Date:____________________________________
________________________________
Purchaser
By:_____________________________
Address:________________________
________________________________
WARNING:
This blanket Certificate of Resale must be completed and signed before it is
valid.
STATE OF ARKANSAS
DEPARTMENT OF FINANCE AND ADMINISTRATION
SALES AND USE TAX SECTION
EXEMPTION CERTIFICATE
(ACT 391 OF 1997)
I hereby certify that I either hold or am the authorized representative of the holder of
Arkansas Sales/Use Tax Permit Number
, or that I am a
nonresident purchaser or the authorized representative thereof and hold a similar permit
issued by the State of
, Number
, that this is a
current and valid permit number; and that I am exempt from sales and use tax on the
tangible personal property purchased from
I further certify that if any tangible personal property purchased exempt under this
certificate is withdrawn from stock or otherwise used, that I will report the tax due under
Arkansas Sales/Use Tax Law and Regulations.
Description of the merchandise to be purchased: (Please give a specific identification of
items purchased. If needed an additional statement may be attached hereto.)
The merchandise purchased is exempt for the following reason:
Purchaser’s business:
Purchaser’s Signature
Purchaser’s Business Name (as stated on permit)
Title/Position with Company
Address
City, State, Zip
Date
NOTICE TO VENDOR: THIS EXEMPTION CERTIFICATE MUST BE ACCEPTED BY
YOU IN GOOD FAITH. THIS MEANS THAT YOU CANNOT ACCEPT THIS
CERTIFICATE AS A BASIS FOR ALLOWING THE PURCHASER TO BUY ITEMS
TAX-FREE IF YOU HAVE ACTUAL KNOWLEDGE THAT THE PURCHASER IS NOT
INTITLED TO AN EXEMPTION ON THE ITEMS PURCHASED OR IF THERE IS
OTHER INFORMATION THAT WOULD SUGGEST THAT THE PURCHASER IS NOT
ENTITLED TO CLAIM AN EXEMPTION.
IF YOU DO NOT ACCEPT THIS
CERTIFICATE IN GOOD FAITH, YOU MAY BE HELD LIABLE FOR SALES TAX ON
THE SALE OF THE ITEMS.
ST391
rev 07/01/97
BORDER STATES
UNIFORM SALE FOR RESALE
CERTIFICATE
Accepted in Arizona, California, New Mexico and Texas
Border States Caucus
★★★★★
This certificate is to be completed by the purchaser and furnished to the vendor who shall retain it. Incomplete certificates must not be accepted in good faith.
SELLER INFORMATION
Seller:
Street Address:
City, State, Country, Zip Code:
PURCHASER INFORMATION
Purchaser:
Street Address:
City, State, Country, Zip Code:
I am engaged in the business of
The property is purchased for resale, and will be resold in the state(s) or country noted below for which I have valid business tax permit(s):
Permit/Identification Number
State
b State
c Country
United States
d Country
United Mexican States
Description of the property being purchased
Check Applicable Box:
Single Purchase Certificate
Blanket Certificate
CERTIFICATION
I understand that if I make any use of the item other than retention, demonstration, or display while holding it for sale in the regular course of business, I must pay
use tax in that state or country measured by the purchase price of such property or other authorized amount. I further understand it may be a criminal offense to
give a seller a resale certificate for a taxable item which I know, at the time of purchase, is purchased for use rather than for the purpose of resale, lease or rental.
I certify that these purchases are exempt per the appropriate laws of the state or country of purchase and that the information on this certificate is true, accurate
Signature of
Title
ADOR 06-0081 (10/95)
Date