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Resale Certificate Form

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Name of Seller: Gundie's Inc., Gundie's of Graham, Gundie's Portland Metro
Name of Buyer / Business:
Address of Buyer:
Buyer's Tax Registration Number:
Buyer is in the business of:
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

or 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:

Effective Date (not to exceed 4 years): through

Date Signed:

Seller must maintain a copy. Please do not send to Department of Revenue.
Reference Rule and Statute (RCW 82.08.130 and WAC 458.20.102)

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Your legal name

Your email address

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Timestamp

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November 1, 2017 5:42 pm PST

Resale Certificate Form Uploaded by John Vick - annette@gundies.com IP 216.243.33.210