TEXAS SALES TAX RESALE CERTIFICATE

Name of purchaser, firm or agency


 Phone (Area code and number)
Address (Street & number, p.o.box or route number)
City, State, Zip Code
Texas Limited Sales Tax Permit Number (or out of state retailer's registration number or date applied for Texas permit)

I, the purchaser named above, claim the right to make a non-taxable purchase for resale of the taxable items described below or on the attached order or invoice from:
Seller U.S. CROWNCO  
Street address 6865 HARWIN DR.  
City, State, Zip Code HOUSTON, TX 77036 TEL: (713) 334-6166 FAX: (713) 334-1428
 
Description of the items to be purchased, or the attached order or invoice:
Description of the type of business activity generally engaged in or type of items normally sold by the Purchaser:
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, in its present form or attached to other personal property to be sold.

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

I understand that it is a misdemeanor to give a resale certificate to the seller for taxable items which I know, at the time of purchase, are purchased for use rather than for the purpose of resale, lease, or rental, and that upon conviction I may be fined not more than $500 per offense.

Purchaser Sign Here:


Title Date