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Resale Certificate Form - State Of Rhode Island Department Of Revenue - Division Of Taxation

STATE OF RHODE ISLAND

DEPARTMENT OF REVENUE – DIVISION OF TAXATION

SALES AND USE TAX

RESALE CERTIFICATE

I HEREBY CERTIFY under penalties of perjury that I hold valid Permit to Make Sales at

Retail No. ________________ issued pursuant to the Rhode Island Sales and Use Tax

Act, that I am engaged in the business of selling _______________________________;

that the tangible personal property described herein which I shall purchase from:

will be resold by me in the form of tangible personal property; provided, however, that in

the event any of such property is used for any purpose other than retention,

demonstration or display while holding it for sale in the regular course of business, it is

understood that I am required by the above Act to report and pay tax, measured by the

purchase price of such property.

Description of property to be purchased:

Name of Purchaser: ________________________________

Address

_________________________________

dated _________________________, 20____

Signature ________________________________

Resale Certificate Form - State Of Rhode Island Department Of Revenue - Division Of Taxation