I, the purchaser named above, claim the right to make a non-taxable purchase for resale of the taxable
items described below as they are for resale or they will become part of an item for resale.
The purchaser will be liable for payment of the Limited Sales and Use Tax if the purchaser uses the tangible
personal property in some manner other than the reason listed above and shall pay the tax based on the price
paid for the tangible personal property.
I (we) understand that the information furnished on this page is for the purpose of qualifying my company as a
legitimate wholesale purchaser & that the information provided is true and correct as stated.
This information will be used to help us qualify you as a legitimate wholesale purchaser and to direct pertinent
information to you through our selective mailing list.