*Name of purchaser, firm or agency as shown on permit: Required.

*Phone: Required. *Street Address: Required.

*City: Required. *State: Required.*Zip: Required.Invalid format.

*Texas Sales and Use Tax Permit Number: Required.Invalid format.

Out-of-state retailer' s registration number of Federal Taxpayers Registry (RFC) number for retailers based in Mexico:

Retailers based in Mexico must also provide a copy of their Mexico registration form:

I, the purchaser named above, claim the right to make a non-taxable purchase (for resale of the taxable items described below) Must check agreement box.

*Seller: Required.

*Email: Required.Invalid format.

*Street Address: Required.

*City: Required. *State: Required. *Zip: Required.Invalid format.

Description of items to be purchased:
Items to be purchased required.

Description of the type of business activity generally
engaged in or type of items normally sold by the purchaser:
Type of business is required.

The taxable items described above, or on the attached order or invoice, will be resold, rented or leased by me within the geographical limits of the United States of America, its territories and possessions or within the geographical limits of the United Mexican States, in their present form or attached to other taxable items to be sold. Must Agree.

I understand that if I make any use of the items other than retention, demonstrated or display while holding them for sale, lease or rental, I must pay sales tax on the items on the items at the time of the use based upon either the purchase price or the fair market rental value for the period of time used. Must Agree.

I understand that it is a criminal offense to give a resale certificate to the seller for taxable that I know , at the time of the purchase, are purchased for use rather than for the purpose of resale, lease or rental, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree. Must Agree

Purchaser: Purchaser Name Required. Title: Title Reqired. Date: Date required.