Tel: (516) 216-4080 Please fax back to (516) 216-4161
(Company Name of Purchase)
(Address of Purchaser)
HEREBY CERTIFY:That I hold valid reseller's permit No.
issued pursuant to the Sales and Use Tax Law; that I am engaged in the business of selling computer components that the tangible personal property described herein which I shall purchase from Marvic International, Inc will be resold by me in the from of tangible personal property; provided, 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 tax, measured by the purchase price of such property or other authorized amount.
Description of property to be purchased: _____________________________________
(Signature of Purchaser or Authorized Agent)