Resale Certificate
Please print out the form listed below, fill and sign it, then fax to 909-595-8048 with a copy of your original reseller permit and make it Attn: Sales Department

RESELLER'S PERMIT
Firm Name / Company: ________________________________________________________


Address of 
Purchaser:  _________________________________________________________________
I HEREBY CERTIFY,
That I hold valid seller’s permit No. __________________________________________
Issued pursuant to the Sales and Use Tax Law;
that I am engaged in the business of selling:

________________________________________________________________________________ 
that the tangible personal property described herein which I shall purchase from:


    Elite Industry    


will be resold by me in the form of tangible personal property; PROVIDE, however; that in the event any of such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business. It is understood that I am required by the Sales and Use Tax Law to report and pay for the tax, measured by the purchase price of such property.

Description of property to be Purchased:      __________________________________   

___________________________________________________________________________________

Date:__________________, 20 ______  Signature: _____________________________________

at _______________________________  Title ___________________________________________
                                Printed Name
Phone:(______)________________  of Purchaser ________________________________________


E-Mail Address: ____________________________________________________________________


Order Number:______________________________________________________________________