Certificate of Resale
Please fill out ALL fields.

THE INFORMATION ON THIS FORM IS USED TO SET UP YOUR ACCOUNT.
IF YOU HAVE A CHANGE IN PERSONNEL AND WISH TO ALTER YOUR REGISTERED BUYERS PLEASE
CONTACT US IMMEDIATELY. IF WE ARE NOT NOTIFIED OF AN ACCOUNT CHANGE WE WILL ASSUME THE
LISTED BUYERS ARE AUTHORIZED TO PURCHASE ON BEHALF OF THE LISTED ACCOUNT.
The undersigned hereby certifies that all tangible personal property hereafter purchased is for purposes of resale, and assumes
liability for payment of Retailers' Occupation Tax, Service Occupation Tax, or Use Tax with respect to receipts from the
resale of this property to users or consumers. This certificate shall be considered a part of each order which we shall give,
unless such order otherwise specifies.
Business  Name:
Business Owners Name:
Business Address:
Business Address:
City:
State:
Zip Code
Business Type:
 DESIGN
 SHOP
HOME
 OTHER
State Resale #:
State Issued:
Telephone #:
Fax #
Please list those
who will be
authorized buyers
for this acount
E-Mail Address:
BY SELECTING THE SUBMIT BUTTON, I VERIFY ALL
INFORMATION LISTED ABOVE IS ACCURATE AND THAT I AM
AN ACTING AGENT OF THE ABOVE MENTIONED COMPANY
WITH AUTHORIZATION TO SET UP THIS ACCOUNT, AND
ACCEPT THAT MY TYPED NAME IN THE FIELD BELOW WILL
BE USED AS MY SIGNATURE.
Settings, Inc.