Resale Certificate
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1
2New York State Department of Taxation and Finance
ST-120
(6/99)
Resale Certificate
□ Single-use certificate
X
□ Blanket certificate
Date issued
Temporary vendors must issue a single-use certificate.
please type or print
Seller information -
Seller’s name
BIG GEYSER INC.
TEL. (718) 821-2200 FAX (718) 821-5400
Address
57-65 48TH STREET
City
State
ZIP code
MASPETH
NEW YORK
11378
please type or print
Purchaser information -
I am engaged in the business of
and principally sell
(Contractors may not use this certificate to purchase materials and supplies.)
Part 1 -
To be completed by registered New York State sales tax vendors
I certify that I am:
□
a New York State vendor (including a hotel operator or a dues or admissions recipient), show vendor or entertainment vendor. My
valid Certificate of Authority Number is
□
a New York State temporary vendor. My valid Certificate of Authority Number is
and expires on
I am purchasing:
□ Tangible personal property (other than motor fuel or diesel motor fuel)
A
●
for resale in its present form or for resale as a physical component part of tangible personal property;
●
for use in performing taxable services where the property will become a physical component part of the property upon which
the services will be performed, or the property will actually be transferred to the purchaser of the taxable service in
conjunction with the performance of the service, or
□ A service for resale, including the servicing of tangible personal property held for sale.
B
Part 2 -
To be completed by non-New York State purchasers
I certify that I am not registered nor am I required to be registered as a New York State sales tax vendor. I am registered to collect sales
tax or value added tax (VAT) in the following state / jurisdiction
and have
been issued the following registration number
. (If sales tax or VAT registration is not
required and a registration number is not issued by your home jurisdiction, indicate the location of your business and write not applicable
on the line requesting the registration number.)
I am purchasing:
□ Tangible personal property (other than motor fuel or diesel motor fuel) for resale, and it is being delivered directly by the seller to
C
my customer or to an unaffiliated fulfillment services provider in New York State.
□
Tangible personal property for resale that will be resold from a business located outside New York State.
D
Part 3 - Certification
I, the purchaser, understand that:
●
I may not use this certificate to purchase items or services that are not for resale.
●
If I purchase tangible personal property or services for resale, but I use or consume the tangible personal property or services
myself in New York State, I must report and pay the unpaid tax directly to New York State.
●
I will incur tax liabilities, in addition to penalty and interest, for any misuse of this certificate.
Please type or print
Purchaser’s name as it appears on the sales tax registration
Name of owner, partner, or officer of corporation, authorizing the purchase
Street address
Purchaser’s signature
City
State
ZIP code
Title
Substantial penalties will result from misuse of this certificate.
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