"*" indicates required fields Resale CertificateImportant-Certificate not valid unless completedCheck Applicable Box Blanket Single Purchase Name of Business* Address Account No.* will be resold in the regular course of business, or leased or rented, as provided by regulation 103 Kar 28:051, or used as provided in KRS 139.470(11), in the manufacture or industrial processing of tangible personal property which will be resold. In the event any property purchased under this certificate is used for any purpose other than retention, demonstration, or display while holding it for sale, lease, or rental in the regular course of business, it is understood that I am required by law to report and pay the tax measured by the purchase price of such property. Description of property to be purchased: Untitled* Under penalties of perjury,I swear or affirm that the information on this certificate is true and correct as every material matter Title Date MM slash DD slash YYYY Caution to seller: Contractor or other persons registered under a consumer number in the 900,000 series may not issue a resale certificate for any purchase. Sellers accepting certificates from such persons will be held liable for the sales or use tax. Note: Any person who makes improper use of this certificate is subject to such penalties as provided by law including the criminal provisions of KRS 139.990(1) 51A105(9-90) Revenue cabinet Frankfort, Kentucky 40620Captcha* Δ
