ST-3NR
State of New Jersey
(09-16, R-4)
DIVISION OF TAXATION
SALES TAX
ST-3NR
Form
RESALE CERTIFICATE FOR NON-NEW JERSEY SELLERS
For use ONLY by out-of-state sellers not required to be registered in New Jersey
THIS FORM IS NOT VALID UNLESS COMPLETED IN ITS ENTIRETY.
Please read and comply with instructions on both sides of this certificate.
SELLER
Name ______________________________________________________________________________________________
Address _____________________________________________________________________________________________
New Jersey Tax Registration Number ____________________________________________________________________
PURCHASER
Name ______________________________________________________________________________________________
Business Location_____________________________________________________________________________________
State(s) of Registration _________________________________________________________________________________
Out-of-State Registration Number(s) ______________________________________________________________________
Type of Business (e.g., retailer, wholesaler, manufacturer, repair shop) ____________________________________________
Description of Item(s) Sold, Serviced or Leased: _____________________________________________________________
Description of Item(s) Purchased: ________________________________________________________________________
This merchandise or service is being purchased for (check applicable item)
¨
Resale in its present form
¨
Resale as a physical component of a product produced or repaired by the purchaser
¨
Lease (outside New Jersey)
The purchaser certifies it has no place of business, employees, independent contractors, service activities, or leased tangible
personal property in New Jersey, is not required to be registered with the New Jersey Division of Taxation, and in fact is not
registered with the New Jersey Division of Taxation.
The purchaser further certifies that if any property purchased tax free is used or consumed by the purchaser in New Jersey
making it subject to New Jersey sales and use tax, the purchaser will pay the proper tax to the Division of Taxation.
Under penalties of perjury I swear or affirm that the information on this form is true and correct to the best of my knowledge.
Print Name _____________________________________________________________________________________________________
Authorized Signature _____________________________________________________________________________________________
(Owner, Partner, Corporate Officer)
Title _____________________________________________________
Date ______________________________________
Address (if different from above)
_________________________________________________________________________________
_________________________________________________________________________________
MAY BE REPRODUCED - (Front and Back Required)