Sample of a Resale Certificate
Do not give out the original; make copies to distribute when you purchase for resale.
Do not confuse this with the “Retailer” certificate.
Purchaser’s Sales Tax Number
Purchaser’s
Type of activity
business name
this business is
Valid Date of Certificate
will be printed
engaged in
here.
Purchaser enters a
Enter Supplier’s
Purchaser signs and
list of items to be
name
dates the certificate
purchased for
resale
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