Utah Resale Certificate Application

Utah Resale Certificate Application

Complete this form to apply for a Utah Resale Certificate. This certificate allows you to purchase items for resale without paying sales tax.
Name of Business Claiming Exemption
Business Physical Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.
Utah Sales Tax License Number*
Type of Business*
Authorized Signature Name*

First NameLast Name
Signature*

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Date*

MonthDayYear
Date
I certify that the information provided on this application is true and correct to the best of my knowledge.*
By signing this form, I certify I am a dealer in tangible personal property or services that are for resale. If I use or consume any tangible personal
property or services I purchase tax free for resale, or if my sales are
of food, beverages, dairy products and similar confections
dispensed from vending machines (see Rule R865-19S-74), I will
report and pay sales tax directly to the Tax Commission on my next
sales and use tax return.
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