CALIFORNIA RESALE CERTIFICATE. For Non Taxable Orders At Action Electronics

REQUIRED FOR CALIFORNIA RESALE PURCHASES - TAX IS NOT CHARGED OUTSIDE CALIFORNIA
(The certificate is not valid unless signed and ALL information entered, Signed and F@xed.) F@ax or mail the completed certificate to:

Action Electronics
1300 E. Edinger Ave - Santa Ana, CA 92705 - (F@X)714/547/3291

- - - - - - CUT HERE BEFORE FAXING - FAX ONLY PORTION BELOW - - - - - - -
DO NOT FAX THE ABOVE INSTRUCTIONS - IT WILL CUT OFF & YOU WILL HAVE TO FAX IT AGAIN

CALIFORNIA RESALE CERTIFICATE

(Company Name / Name of Purchaser)

Complete address / City / State / Zip / (Address of Purchaser)

I HEREBY CERTIFY: That I hold valid seller’s permit Number.

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 Action Electronics Corporation will be resold by me in the form 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:(Specific types of items: Parts, Equipment, tools, chemicals ETC)

Telephone Number:
FAX Number:

Date: ___________________, 200___

_____________________________________
(Signature of Purchaser or Authorized Agent)

_____________________________________