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Resale Certificate
Please fax the following completed form, along with a copy of your Reseller Permit
issued by the State Board to 909-839-7682.

Attn: Sales Department

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:

Motorcycle Parts and Upgrades

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


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

MOTORCYCLE PARTS / UPGRADES                              

Date:________________ 20____    Printed Name of Purchaser: ________________________________

Phone: (___)____________________ By and Title: __________________________
                                                            (Signature of Purchaser or Auth. Agent)

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