| Business
Name (Purchaser): |
|
| Nature
of Business: |
|
| Type
of Business: |
|
| Reason
For Exemption: |
|
| Street
Address: |
|
| City: |
|
| State: |
|
| Zip
Code: |
|
| Is this address: |
|
| Business
Phone: |
|
| E-mail
Address: |
|
| Fax
number: |
|
| Sales
Tax Permit Number: |
|
| State
of Issue: |
|
| |
|
|
I, (your full name) ,
certify that if any property so purchased tax
free from Magic Enterprise is used or consumed
as to make it subject to a Sales or Use Tax we
will pay the tax due direct to the proper taxing
authority according the the laws of the state in
which the Resale Tax Certificate has been
issued. This certificate shall apply to
each order which, we may hereafter give to you,
unless otherwise specified, and shall be valid
until cancelled by us in writing or revoked by
the city or state. Description of property
to be purchased is as follows: baskets,
containers, pots, supplies, and related items
|
|
Under penalty of perjury, I
swear that the information on this form is true
and correct.
|
|
Signature of
Purchaser:
|
* |
| Title: |
|
| Date: |
Use
the format "dd/mm/yyyy" |
| |
|
|
*
United States House of Representatives H.R. 1714
"Electronic Signatures in Global and
National Commerce" gives electronic
signatures and records the same legal validity
as their handwritten counterparts. View
article. |
