Form 51a105 - Kentucky Department Of Revenue - Resale Certificate printable pdf download

Form 51a105 - Kentucky Department Of Revenue - Resale Certificate

Check Applicable Block

Important—Certificate not

RESALE CERTIFICATE

Blanket



valid unless completed.

Single Purchase



I hereby certify that _______________________________________________________________________________

Name of Business

Address

holds a valid Sales and Use Tax Permit, Account No. _______________, issued pursuant to the sales and use tax law and is

engaged in the business of selling, leasing or renting, industrial processing or manufacturing the following:

__________________________________________________________________________________________________

I further certify that the tangible personal property or digital property described herein which I shall purchase from:

_____________________________________________________________________________________________________________

Name of Seller

Address

will be resold in the regular course of business, or leased or rented, as provided by Regulation 103 KAR 28:051, or used, as

provided in KRS 139.470(10), in the manufacture or industrial processing of tangible personal property or digital property which

will be resold. In the event any property purchased under this certificate is used for any purpose other than retention, demon-

stration or display while holding it for sale, lease or rental in the regular course of business, it is understood that I am required

by law to report and pay the tax measured by the purchase price of such property. Description of property to be purchased:

_____________________________________________________________________________________________________________

Under penalties of perjury, I swear or affirm that the information on this certificate is true and correct as to every material

matter.

Authorized Signature (Owner, Partner or Corporate Officer)

Title

Date

CAUTION TO SELLER: Contractors or other persons registered under a consumer number in the 900,000 series may not issue a resale

certificate for any purchase. Sellers accepting certificates from such persons will be held liable for the sales or use tax.

NOTE: Any person who makes improper use of this certificate is subject to such penalties as provided by law including the criminal

provisions of KRS 139.990(1).

DEPARTMENT OF REVENUE

Frankfort, Kentucky 40620

51A105 (7-13)

Form 51a105 - Kentucky Department Of Revenue - Resale Certificate