Form And Contents Of Resale Certificate - Nevada Department Of Taxation

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I hereby certify that I hold valid seller's permit number ________________ issued pursuant to
chapters 372, 374 and 377 of the Nevada Revised Statutes; that I am engaged in the business of
selling __________________________ ___ ; and that the tangible personal property described in
the second paragraph of this certificate, which I purchase from:
____________________________ , will be resold by me in the form of tangible personal
property. I further certify that in the even t any of the property is used for any purpose other than
retention, demonstration or display while I am holding it for sale in the regular course of
business, it is understood that I am required by chapters 372, 374 and 377 of the Nevada Revised
Statutes to report it and pay the tax measured by the purchase price of the property.
Description of the property to be
purchased:
Purchaser
Address
Date
Signature
of
Authorized
Purchaser
at

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