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Get WA REV 27 0020e 2001

WARNING To protect against the possibility of others accessing your confidential information do not complete these forms on a public workstation. Reset This Form State of Washington Department of Revenue RESALE CERTIFICATE Name of Seller Name of Buyer/Business Address of Buyer Street City Buyer is in the business of Zip Code Buyer s UBI/Revenue Registration Number State Types of items purchased for resale The buyer certifies that it is purchasing the items listed on line 6 please check appropriate box for resale in the regular course of business without intervening use. Print Name Name of Person Authorized By the Buyer to Sign the Resale Certificate Signature Signature of Authorized Agent of the Buyer Effective Date through Not To Exceed 4 Years Date Signed Seller must maintain a copy. Please do not send to Department of Revenue. Reference Rule and Statute RCW 82. 08. 130 and WAC 458. 20. 102 For tax assistance visit http //dor. wa.gov or call 800 647-7706. To inquire about the availability of this document in an alternate format for the visually impaired please call 360 486-2342. for use as an ingredient or component part of a new article of tangible personal property to be produced for sale as a chemical to be used in processing a new article of tangible personal property to be produced for sale or for use as feed seed seedlings fertilizer or spray materials in its capacity as a farmer. The buyer acknowledges that it is solely responsible for purchasing within the categories listed on line 6. The buyer acknowledges that misuse of the resale privilege subjects the buyer to a penalty of 50 percent of the tax due in addition to the tax interest and any other penalties imposed by law. Print Name Name of Person Authorized By the Buyer to Sign the Resale Certificate Signature Signature of Authorized Agent of the Buyer Effective Date through Not To Exceed 4 Years Date Signed Seller must maintain a copy. Please do not send to Department of Revenue. Reference Rule and Statute RCW 82. 08. 130 and WAC 458. 20. 102 For tax assistance visit http //dor. wa*gov or call 800 647-7706. To inquire about the availability of this document in an alternate format for the visually impaired please call 360 486-2342. for use as an ingredient or component part of a new article of tangible personal property to be produced for sale as a chemical to be used in processing a new article of tangible personal property to be produced for sale or for use as feed seed seedlings fertilizer or spray materials in its capacity as a farmer. The buyer acknowledges that it is solely responsible for purchasing within the categories listed on line 6. The buyer acknowledges that it is solely responsible for purchasing within the categories listed on line 6. The buyer acknowledges that misuse of the resale privilege subjects the buyer to a penalty of 50 percent of the tax due in addition to the tax interest and any other penalties imposed by law. The buyer acknowledges that misuse of the resale privilege subjects the buyer to a penalty of 50 percent of the tax due in addition to the tax interest and any other penalties imposed by law. Print Name Name of Person Authorized By the Buyer to Sign the Resale Certificate Signature Signature of Authorized Agent of the Buyer Effective Date through Not To Exceed 4 Years Date Signed Seller must maintain a copy. .

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