20321 Lake Forest Drive, Suite D2  Lake Forest, CA  92630  Tel: (949) 305-6530 Fax: (949) 305-6477 info@approvedmemory.com 

 

RESALE CERTIFICATE
Please complete form, print, enclose Reseller Permit and fax or mail as noted above.

 

Company Name/DBA:

     

Address:

     

 

     

 

I hereby certify that I hold Seller’s Permit Number:

     

 

Issued pursuant to the Sales and Use Tax Law; that I am engaging in the business of selling:

 

COMPUTER HARDWARE

 

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

Approved Memory, Corp.

20321 Lake Forest Drive, Suite D2

Lake Forest, CA  92630

 

Will be resold by me in the form of tangible personal property; provided, however, that in the event any of such property for any purpose other than retention, demonstration, or display while holding it for sake in the regular course of business, it is understood that I am required by Sales and Use Tax Law to report and pay tax, measured by the purchase price of such property or other authorized amount.  Description of property to be purchased:

 

COMPUTER HARDWARE

 

Printed Name of Purchaser:

     

Signature of Purchaser or Authorized Agent:

     

Title:

     

Date:

     

Phone: