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 (Business Legal and DBA Name (s)
* 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
Sellers Address:

VIP Supplyco LLC

850 Northlake Drive

Suite 150

Coppell TX 75019
Date*

MonthDayYear
Date
Purchaser's Signature*

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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
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