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Resale Certificate with Signature

Complete the information below. Select only one. *

The purchaser is registered as a retailer with the Illinois Department of Revenue. (Enter Account ID number below)

The purchaser is registered as a reseller with the Illinois Department of Revenue. (Enter Resale number below)

The purchaser is authorized to do business out-of-state and will resell and deliver property only to purchasers located outside the state of Illinois.

Complete for blanket certificates

I am the identified purchaser, and I certify that all of the purchases that I make from this seller are for resale.

I am the identified purchaser, and I certify that the following percentage, %, of all of the purchases that I make from this seller are for resale. (Enter percentage below)

I certify that I am purchasing the property described above from the stated seller for the purpose of resale.

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Your legal name

Your email address

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September 9, 2019 8:59 pm CDT

Resale Certificate with Signature Uploaded by Scott Dickinson - webcontact@naturaldirect.com IP 73.73.59.33