Resale Form

Resale

TYPE OR PRINT LEGIBLY

RESALE OR EXEMPTION CERTIFICATE

EIN Number

Tax Exempt Code

Purchaser hereby certifies to the seller, iSource-X, that:

1. Purchaser holds a valid SALES AND USE TAX PERMIT

issued by the State of

2. The tangible personal property purchased on each order heretofore given to you and on each order that we shall hereafter give you, unless such order is otherwise specified and until this notice and certificate is revoked by us in writing, is purchased for:

Resale, leasing or renting

To be incorporated as an ingredient or component part of other tangible personal property to be produced for ultimate Sale at retail by manufacturing, processing or fabricating

Other ground of exemption:

3. The general character of the tangible personal property sold, leased, or rented by the purchaser is:

4. The undersigned purchaser further certifies that he will assume liability for the payment of any tax that may be due if the transaction is not exempt from tax.

Purchase Company

Address

Signed By

Date

iSource-X LLC • PO Box 30055, Clarksville, TN 37040 • 1.877.524.7788 www.iSource-X.com

Email: info@iSource-X.com

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Resale Form

Resale Form

RESALE OR EXEMPTION CERTIFICATE

Purchaser hereby certifies to the seller, iSource-X, that:

4. The undersigned purchaser further certifies that he will assume liability for the payment of any tax that may be due if the transaction is not exempt from tax.

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