Transcription of CT Resale Certificate - Constant Contact
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STATE OF CONNECTICUTDEPARTMENT OF REVENUE SERVICESSALES & USE TAX Resale CERTIFICATEA ddressIssued to (Seller)is engaged as a registeredName of Firm (Buyer)I certify that) Wholesaler((((() RetailerStreet Address or Box No.) Manufacturer) Lessor) Other (specify)StateCityZipand is registered with the below listed states and cities within which your firm would deliver pur-chases to us and that any such purchases are for wholesale, Resale , ingredients or components of anew product to be resold, leased, or rented in the normal course of our business. We are in thebusiness of wholesaling, retailing, manufacturing, leasing (renting) the following:State RegistrationCity or StateCity or StateState Registrationor RegistrationCity or StateCity or StateState Registrationor RegistrationCity or StateState Registrationor further certify that if any property so purchased tax free is us
I declare under the penalties of false statement that this certificate has been examined by me and to the best of my knowledge and belief is a true, correct and complete certificate. Authorized Signature (Owner, Partner or Corporate Officer) Title Date City or …
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