Form 01-339 - Texas Sales And Use Tax Resale Certificate Page 2
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201-339 (Back)
SAVE A COPY
CLEAR SIDE
(Rev.4-13/8)
Texas Sales and Use Tax Exemption Certification
This certificate does not require a number to be valid.
Bidder # _______________
Name of purchaser, firm or agency
Address (Street & number, P.O. Box or Route number)
Phone (Area code and number)
City, State, ZIP code
I, the purchaser named above, claim an exemption from payment of sales and use taxes (for the purchase of taxable
items described below or on the attached order or invoice) from:
Selling for:
Seller:
Mount Pleasant, Texas 75455
1521 W. 16th ST.
City, State, ZIP code:
Street address:
Description of items to be purchased or on the attached order or invoice:
Purchaser claims this exemption for the following reason:
I understand that I will be liable for payment of all state and local sales or use taxes which may become due for failure to comply with
the provisions of the Tax Code and/or all applicable law.
I understand that it is a criminal offense to give an exemption certificate to the seller for taxable items that I know, at the time of purchase,
will be used in a manner other than that expressed in this certificate, and depending on the amount of tax evaded, the offense may range
from a Class C misdemeanor to a felony of the second degree.
Purchaser
Title
Date
NOTE: This certificate cannot be issued for the purchase, lease, or rental of a motor vehicle.
THIS CERTIFICATE DOES NOT REQUIRE A NUMBER TO BE VALID.
Sales and Use Tax "Exemption Numbers" or "Tax Exempt" Numbers do not exist.
This certificate should be furnished to the supplier.
Do not send the completed certificate to the Comptroller of Public Accounts.
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