RESALE CERTIFICATE

1. Name of Seller ________________________________________________________________________

2. Name of Buyer/Business:

Associated Student Body Fund of Everett Public Schools

For School Name:

3. Address of Buyer PO BOX 2098

Everett, WA

98203

Street

City, State

Zip

4. Buyer’s UBI/Revenue Registration Number

RCW 82.04.3651

5. Buyer is in the business of Public School District – Associated Student Body Fundraising Activity

6. Types of items purchased for resale _________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

The buyer certifies that it is purchasing the items listed on line 6 (please check

Appropriate box):

…

for resale during a tax-exempt fund-raising activity (text added by district)

…

for resale in the regular course of business without intervening use

…

for use as an ingredient or component part of a new article of tangible

personal property to be produced for sale,

…

as a chemical to be used in processing a new article of tangible personal

property to be produced for sale, or

…

for use as feed, seed, seedlings, fertilizer, or spray materials in its capacity

as a farmer.

The buyer acknowledges that it is solely responsible for purchasing within the

Categories listed on line 6. The buyer acknowledges that misuse of the resale

Privilege subjects the buyer to a

penalty of 50 percent of the tax due

, in addition

to the tax, interest, and any other penalties imposed by law.

Print Name_______________________________________________________________________________

Name of Person Authorized By the Buyer to Sign the Resale Certificate

Signature_________________________________________________________________________________

Signature of Authorized Agent of the Buyer

Effective Date ______________________

through For purchases on PO#

only

(Not To Exceed 4 Years)

Date Signed ________________________

Seller must maintain a copy.

Please do not send to Department of Revenue

.

Reference Rule and Statute (RCW 82.08.130 and WAC 458.20.102)

Tax Advisory # 2004.04/08.167 Issued Nov. 23, 1999

REV 27 0020 (09-04-97)

DISTRIBUTION: * DISTRICT ACCOUNTING OFFICE

*THE SELLER/VENDOR

*SCHOOL ASB FILE

Washington State

Department of Revenue