NEVADA RESALE CERTIFICATE

I hereby certify that I hold valid seller's permit number ________________ issued pursuant to chapter            360  of the
Nevada Revised Statutes; that I am engaged in the business of selling _____________________________; and
that the tangible personal property described in the second paragraph   of this certificate,  which I purchase   from:       
____________________________, will be resold by me in the form of tangible personal property.  I further
certify that in the event any of the property is used for any purpose other than retention, demonstration or display
while I am holding it for sale in the regular course of business, it is understood that I am required by
chapters 372, 374 and 377 of the Nevada Revised Statutes to report it and pay the tax measured by the purchase price of 
the property. 

Description of the property to be purchased: 

Dated                                                                Purchaser 

at                                                                   Address 

                                                                        Signature of Authorized Purchaser 

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