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Uniform Sales & Use Tax Exemption/Resale Certification - Multi Jurisdiction

The below listed states have indicated that this certificate is acceptable as a resale/exemption certificate for sales and use tax, subject to the notes found HERE. The issuer and the recipient have the responsibility to determine the proper use of this certificate under applicable laws in each state, as these may change from time to time.

Issued to:
Starlite - 9 Whittendale Drive, Moorestown, NJ 08057

I certify that:

Name of Buyeryour full name

Addressyour full name

Please specifymore details

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The above is registered with the below-listed states and cities within which your firm would deliver purchases to us and that any such purchases are for wholesale, resale, or ingredients or components of a new product or service to be resold, leased, or rented in the normal course of business. We are in the business of wholesaling, retailing, manufacturing, leasing (renting) selling (California) the following:

Description of Businessmore details

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General description of tangible property or taxable services to be purchased from the Sellermore details

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State Registration, Seller's Permit, or ID # of Purchaseryour full name

I further certify that if any property or service so purchased tax free is used or consumed as to make it subject to a Sales or Use Tax we will pay the tax due directly to the proper taxing authority when state law so provides or inform the Seller for added tax billing. This certificate shall be a part of each order that we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked by thee city or state. Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter.

Instructions and Notes regarding Uniform Sales & Use Tax Exemption Certificate can be found here.

I HAVE READ AND ACCEPT THE INSTRUCTIONS AND NOTES REGARDING UNIFORM SALES & USE TAX EXEMPTION CERTIFICATE AND THE INFORMATION FILLED OUT IN THIS FORM IS CORRECT.