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2.
I am engaged in the business of selling the following type of tangible
personal property. __________________________________________________________________________________________ 3.
This certificate is for the purchase from Plastic Products Mfg. of the item(s) I have listed in paragraph 5
below. __________________________________________________________________________________________ 5.
Description of property to be purchased for resale:
___________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 6.
I have read and understand the following: For Your
Information: A person may be guilty of a misdemeanor
under Revenue and Taxation Code section 6094.5 if the purchaser knows at the
time of purchase that he or she will not resell the purchased item prior to
any use (other than retention, demonstration, or display while holding it for
resale) and he or she furnishes a resale certificate to avoid payment to the
seller of an amount as tax.
Additionally, a person misusing a resale certificate for personal gain
or to evade the payment of tax is liable, for each purchase, for the tax that
would have been due, plus a penalty of 10 percent of the tax or $500.00,
whichever is more. __________________________________________________________________________________________ NAME
OF PURCHASER __________________________________________________________________________________________ SIGNATURE
OF PURCHASER, PURCHASER’S EMPLOYEE OR AUTHORIZED REPRESENTATIVE __________________________________________________________________________________________ PRINTED
NAME OF PERSON SIGNING
TITLE __________________________________________________________________________________________ ADDRESS
OR PURCHASER __________________________________________________________________________________________ TELEPHONE
NUMBER
DATE __________________________________________________________________________________________ |