RESALE CERTIFICATE Name of Purchaser:_______________________________________________________________ Address of Purchaser:____________________________________________________________ I HEREBY CERTIFY: That I hold valid seller's permit No:__________________________ issued pursuant to the Sales and Use Tax laws that I am engaged in the business of selling: _________________________________________________________________________________ that the tangible personal property described herein which I shall purchase from: Roland's of California, will be resold by me in the form of tangible personal property: provided, however in the event any such property is used for any purpose other than intention, demonstration or display while holding it for sale in the regular course of business, it is understood that I am required by Sales and Use Tax Law to report and pay tax measured by the purchase price of such property or other authorized amount. Description of property to be purchased:__________________________________________ __________________________________________________________________________________ By___________________________ Printed name of purchaser:__________________________ (Signature of Purchaser or Auth. Agent) Date:___________________, 19_______ Phone:( ) __________________________ State of Issue:_______________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Fax to Roland's of California at (909) 982-8791 www.rolandsofcalifornia.com Phone: (909) 982-2601 E-mail: sales@rolandsofcalifornia.com 8768 9th Street, Rancho Cucamonga, California 91730