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1 I hold valid seller s permit number:
2 I am engaged in the business of selling the following type of tangible personal property:
3 This certificate is for the purchase from
4 I will resell the item(s) listed in paragraph 5 which I am purchasing under this resale certificate in the form of
5 Description of property to be purchased for resale:
6 I have read and understand the following:
6094 5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any
ADDRESS OF PURCHASER
BOE 230 (7 02) STATE OF CALIFORNIA
California Resale Certificate
certificate to avoid payment to the seller of an amount as tax Additionally a person misusing a resale certificate
due plus a penalty of 10 percent of the tax or $500 whichever is more
for personal gain or to evade the payment of tax is liable for each purchase for the tax that would have been
For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section
GENERAL RESALE CERTIFICATE BOARD OF EQUALIZATION
I HEREBY CERTIFY:
just described I will owe use tax based on each item s purchase price or as otherwise provided by law
listed in paragraph 5 below [Vendor s name]
my business I understand that if I use the item(s) purchased under this certificate in any manner other than as
NAME OF PURCHASER
of the item(s) I have
PRINTED NAME OF PERSON SIGNING
SIGNATURE OF PURCHASER PURCHASER S EMPLOYEE OR AUTHORIZED REPRESENTATIVE
tangible personal property in the regular course of my business operations and I will do so prior to making any
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use (other than retention demonstration or display while holding it for resale) and he or she furnishes a resale
use of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course of
