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California Reseller Certificate

I herby certify that I hold a valid California seller's permit. My permit number is :

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 The Crystal Place, 14938 Delano St. Van Nuys CA 91411, 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 of other authorized amount.