State of Washington
Department of Revenue
RESALE CERTIFICATE
1.Name of Seller:
2.Name of Buyer/Business:
3.Address of Buyer:
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Zip Code |
4.Buyer’s UBI/Revenue Registration Number:
5.Buyer is in the business of:
6.Types of items purchased for resale:
The buyer certifies that it is purchasing the items listed on line 6 (please check appropriate box):
for resale in the regular course of business without intervening use.
for use as an ingredient or component part of a new article of tangible personal property to be produced for sale,
as a chemical to be used in processing a new article of tangible personal property to be produced for sale, or
for use as feed, seed, seedlings, fertilizer, or spray materials in its capacity as a farmer.
The buyer acknowledges that it is solely responsible for purchasing within the categories listed on line 6. The buyer acknowledges that misuse of the resale privilege subjects the buyer to a penalty of 50 percent of the tax due, in addition to the tax, interest, and any other penalties imposed by law.
Print Name:
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Name of Person Authorized By the Buyer to Sign the Resale Certificate |
Signature: |
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Signature of Authorized Agent of the Buyer |
Effective Date: |
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through |
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(Not To Exceed 4 Years) |
Date Signed: |
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Seller must maintain a copy. Please do not send to Department of Revenue. |
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Reference Rule and Statute (RCW 82.08.130 and WAC 458.20.102) |
For tax assistance visit http://dor.wa.gov or call (800) 647-7706. To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 486-2342. Teletype (TTY) users may call (800) 451-7985.
REV 27 0020e (fill-in) (12-10-01)