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Resale Certificate
Please print out the form listed below, fill and sign it, then fax to 1-440-337-8081 with a copy of your original reseller permit and make it Attn: Sales Department

RESELLER'S PERMIT

Firm Name / Company: __________________________________________________

Address of 
Purchaser:
  __________________________________________________________

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:

______________________________________________________________________________ 

that the tangible personal property described herein which I shall purchase from:


   
Calstar Technology Inc    


will be resold by me in the form of tangible personal property; PROVIDE, 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:  

_________________________________________________________________________________

Date:__________________, 20 ______ 

Signature: ____________________________________

at _______________________________ 

Title ___________________________________________

                                Printed Name

Phone:(______)________________  of Purchaser ________________________________________

E-Mail Address: __________________________________________________________________


Order Number:_________________________________

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