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NORTHWEST WHOLESALE REQUIRES A CURRENT BUSINESS LICENSE AND RESALE CERTIFICATE ON FILE BEFORE A PURCHASE CAN BE MADE. The buyer acknowledges that it is solely responsible for purchasing within the state laws pertaining to Washington Department of Revenue. RESALE FORM Northwest Wholesale Florists Inc. 525 S. Front Street Seattle Washington 98108 206 622-5370 / 206 621-8672 fax BUSINESS NAME BUSINESS ADDRESS CITY STATE PHONE FAX ZIP EMAIL ADDRESS BUSINESS UBI / REVENUE REGISTRATION PLEASE CHECK ONLY ONE Store Front Flower Shop Home Based Church School Interior Designer Nursery/Greenhouse Market Seller Non-Floral Other PLEASE SELECT ONLY ONE The buyer certifies that they are purchasing the items listed A For resale in the regular course of business without intervening use in the regular course of Business Tax exempt Northwest Wholesale Florists Requires a copy of the State of Washington Nursery Resellers License for option A. B For use as an ingredient or component part of a new article of tangible personal property to be produced for sale. Tax exempt Reseller Permit Required C Items purchased will not be for resale sales tax will be applied to purchases Please include a copy of your current business license reseller permit if applicable and picture ID. The buyer acknowledges that misuse of the resale privilege claimed by use of this certificate subjects the buyer to a penalty of 50 of the tax due in addition to the tax interest and any other penalties imposed by law. SIGNATURE/S PRINTED NAME/S ADDITIONAL AUTHORIZED PURCHASER/S DATE SIGNED EXPIRATION DATE 4 YEARS FROM DATE SIGNED A limit of 1 purchasing passes will be issued per Business License there is a limit to 2 people in the warehouse per purchasing pass. B For use as an ingredient or component part of a new article of tangible personal property to be produced for sale. Tax exempt Reseller Permit Required C Items purchased will not be for resale sales tax will be applied to purchases Please include a copy of your current business license reseller permit if applicable and picture ID. The buyer acknowledges that misuse of the resale privilege claimed by use of this certificate subjects the buyer to a penalty of 50 of the tax due in addition to the tax interest and any other penalties imposed by law. SIGNATURE/S PRINTED NAME/S ADDITIONAL AUTHORIZED PURCHASER/S DATE SIGNED EXPIRATION DATE 4 YEARS FROM DATE SIGNED A limit of 1 purchasing passes will be issued per Business License there is a limit to 2 people in the warehouse per purchasing pass.

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