Texas Resale Certificate

Texas Resale Certificate

Please complete this form to provide proof of eligibility to purchase items for resale without paying sales tax in Texas.
Texas Taxpayer Identification Number (11 digits)*
Name of Purchaser
* As it appears on permit
Purchaser Business Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Description of items to be purchased*
Description of business activity generally engaged in by purchaser*
Name of Seller
Seller's Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date*

MonthDayYear
Date
Purchaser's Signature*

Powered by Jotform SignClear
Purchaser's Name (Print)*

First NameLast Name
I swear that the information in this certificate is true and correct to the best of my knowledge and belief.*

I agree
Should be Empty: