California Resale Certificate

1
1. I hold valid seller’s permit number* This field is required.
2
2. I am engaged in the business of selling the following type of tangible personal property* This field is required.
3
5. Description of property to be purchased for resale
Furniture & Accessories
4
NAME OF PURCHASER* This field is required.
COMPANY NAME
5
Signature* This field is required.
Clear
6
PRINTED NAME OF PERSON SIGNING* This field is required.
NAME OF PERSON, NOT THE COMPANY.
7
TITLE* This field is required.
8
ADDRESS OF PURCHASER* This field is required.
Street, City State ZIP
9
DATE* This field is required.
Date
Month
Day
Year
10
Telephone Number* This field is required.
(xxx) xxx-xxxx
11
Email* This field is required.
Make sure this is the same email as you are purchasing with.
Should be Empty: