To Our Customers:
In compliance with Sales and Use Tax Laws it is necessary that we have from all
our customers a signed re-sale certificate, with their State Sales Tax Permit Number,
to show that the merchandise has been purchased for re-sale.
The good faith of the seller will be questioned if he has knowledge of facts which
give rise to a reasonable inference that the purchaser does not intend to resell the
property as, for example, knowledge that a purchaser of particular merchandise is
IF YOU HAVE QUESTIONS REGARDING OR NEED HELP COMPLETING THIS FORM, PLEASE CALL
US AT (916)463-0171 AND WE'LL BE GLAD TO HELP. THANK YOU.
FIRM NAME___________________________________________________________
I HEREBY CERTIFY,
That I hold valid seller's permit No.________________________________________
issued pursuant to the Sales and Use Tax Law; that I am engaged in the business of
selling _____________________________________________________________,
and that the tangible personal property described herein which I shall purchase from
HealthWise
will be resold by me in the form of tangible personal property; PROVIDED, however,
that in the event any of such property is used for any purpose other than retention,
demonstration, or display while holding it for sale in the regular course of
business, it is understood that I am required by the Sales and Use Tax Law to report and pay for
the tax, measured by the purchase price of such property.
Description of property to be purchased: Any or all of the following: Juicers, dehydrators, Water Distillers, Kitchen Appliances and other home
appliances.
DATED________________________ SIGNATURE__________________________
NAME_________________________ TITLE______________________________
PHONE________________________ ADDRESS____________________________
FAX__________________________