Application For Resale Certificate Form - Ketchikan Gateway Borough printable pdf download

KETCHIKAN GATEWAY BOROUGH

1900 FIRST AVENUE, SUITE 118

KETCHIKAN, AK 99901

APPLICATION FOR RESALE CERTIFICATE

SALES TAX EXEMPTION DECLARATION

I, the undersigned, a representative of the business named below, do certify that I will purchase services, rentals or item of

tangible personal property for resale in the regular course of business, not for personal use, whether to be sold in the same form

as received or in some modified condition or form or after fabrication or use with other substances or item.

I understand that misuse of a resale certificate is unlawful and subject to prosecution and fine.

BUSINESS NAME:

KGB REG NUMBER

ADDRESS: _____________________________________________________________________________________________

CITY/STATE/ZIP: _______________________________________________________________________________________

____________________________________________________________________

DATE: ________________________

SIGNATURE OF BUSINESS REPRESENTATIVE

CHECK THE TYPES OF PURCHASES TO BE MADE FOR RESALE:

LIST BELOW THE ITEMS YOU WILL BE PURCHASING FOR RESALE:

___________________________________________________________________________________________________________________________________________________________

There is a $10.00 processing fee which must be submitted with this application. To maintain certificate,

application must be renewed and $10.00 fee paid January of each year.

FOR OFFICIAL USE ONLY

RESALE NUMBER ASSIGNED:

DATE CARD/CERTIFICATE SENT:

BY:

Application For Resale Certificate Form - Ketchikan Gateway Borough

Related Articles

Related forms

Related Categories