Form Tpt-3 - Tobacco Products Wholesale Sales And Use Tax Form - New Jersey
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1
2TPT-3
(11-99)
PURCHASER’S NEW JERSEY
CERTIFICATE OF AUTHORITY NUMBER
State of New Jersey
DIVISION OF TAXATION
TOBACCO PRODUCTS WHOLESALE SALES AND USE TAX
FORM TPT-3
WHOLESALE RESALE CERTIFICATE
To be completed by purchaser and given to and retained by seller. This form is not valid unless completed in its entirety.
Please read and comply with the instructions given on both sides of this certificate.
TO ________________________________________________________________________ Date _______________________________
(Name of Seller)
_______________________________________________________________________________________________________________
Address
City
State
Zip
The purchaser certifies that:
(1) It is registered with the New Jersey Division of Taxation under the Certificate of Authority number
shown above.
(2) The tobacco products purchased are described as follows:
(3) It is a distributor, manufacturer or wholesaler of tobacco products, as defined on the reverse side.
(4) It is purchasing tobacco products for the purpose of resale to a manufacturer, wholesaler, distributor
or retail dealer of tobacco products.
(5) It is not a retail dealer.
THIS CERTIFICATE MAY NOT BE ISSUED BY RETAIL DEALERS
I, the undersigned purchaser, have read and complied with the instructions with respect to the use of this Certificate, and
it is my belief that the seller named herein is not required to collect the tax on the transaction or transactions covered by
this Certificate. The undersigned purchaser hereby swears (under the penalties for perjury and false swearing) that all of
the information shown in this Certificate is true.
___________________________________________________________________________________
NAME OF PURCHASER
(as registered with the New Jersey Division of Taxation)
___________________________________________________________________________________
(Address of Purchaser)
By
___________________________________________________________________________________
(Signature of owner, partner, officer of corporation, etc.)
(Title)
MAY BE REPRODUCED
(Front & Back Required)
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