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Company Name:
First Name:
Last Name:
Address:
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I hereby certify,that I hold a valid seller’s permit NO.
issued pursuant to the Sales and Use Tax Law; that I am in the business of selling INTERIOR DESIGN SUPPLIES AND SERVICES that the personal tangible property described herein which I shall purchase from DESIGN CENTER ASSOCIATES will be sold by me in the form of personal tangible property; provided however that in the event any such property is used for any purpose 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: FURNITURE, WALL COVERING, FABRIC, TRIM, LIGHTING, SILK PLANTS AND OTHER DECORATIVE ACCESSORIES.
Date:
Signature (or type name):
Title:
No Resale License? Sales Tax will be charged.
Contractor
Architect
Workroom
Designer(consulting only)
Other
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