First Name *

Last Name *

Company

Street Address *

Address 2

State / County *

Town / City *

Postcode / Zip *

Phone

Additional Information

User Role Selection* ---Select--- Customer Professional Professional Reseller

Professional License No. *

State doing business in *

Are you shipping to home address or business address * Home Address Business Address

I hold valid seller permit number

I am engaged in the business of selling the following type of tangible property

I have read and understood the following For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section 6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal gain or to evade the payment of tax is liable. for each purchase, for the tax that would have been due, plus a penalty of 10 percent of the tax or $500, whichever is more.

Do you have a valid Tax Exemption Certificate? Upload the tax exemption certificate to to get tax exemption for california