Sales And Use Tax Resale Certificate Template Page 2
Download a blank fillable Sales And Use Tax Resale Certificate Template in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Sales And Use Tax Resale Certificate Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2STATE OF CONNECTICUT
reset
DEPARTMENT OF REVENUE SERVICES
SALES & USE TAX RESALE CERTIFICATE
Issued to (Seller)
Address
___________________________________________
___________________________________________
I certify that
Name of Firm (Buyer)
is engaged as a registered
_______________________________________________
(
) Wholesaler
(
) Retailer
Street Address or P.O. Box No.
(
) Manufacturer
(
) Lessor
_______________________________________________
(
) Other (specify)
City
State
Zip
_______________________________________________
and is registered with the below listed states and cities within which your firm would deliver pur-
chases to us and that any such purchases are for wholesale, resale, ingredients or components of a
new product to be resold, leased, or rented in the normal course of our business. We are in the
business of wholesaling, retailing, manufacturing, leasing (renting) the following:
City or state
State Registration
City or State
State Registration
or I.D. No.
or I.D. No.
________________________________________
_______________________________________
City or state
State Registration
City or State
State Registration
or I.D. No.
or I.D. No.
________________________________________
_______________________________________
City or state
State Registration
City or State
State Registration
or I.D. No.
or I.D. No.
______________________________________
______________________________________
I further certify that if any property so purchased tax free is used or consumed by the firm as to
make it subject to a sales or use tax we will pay the tax due direct to the proper taxing authority
when state law so provides or inform the seller for added tax billing. This certificate shall be part of
each order which we may hereafter give to you, unless otherwise specified, and shall be valid until
cancelled by us in writing or revoked by the city or state.
General description of products to be purchased from the seller:
__________________________________________________________________________________________
I declare under the penalties of false statement that this certificate has been examined by me and
to the best of my knowledge and belief is a true, correct and complete certificate.
Authorized Signature _______________________________________________________________________
(Owner, Partner or Corporate Officer)
Title
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial