TENNESSEE DEPARTMENT OF REVENUE
BLANKET CERTIFICATE OF RESALE
TO (Vendor):________________________________________________
__________________________________________________________
The undersigned hereby certifies that the merchandise purchsed on each order we shall give, and until this notice is revoked by us in writing, is purchased for,
( ) Resale as tangible personal property, or resale of a service subject to tax.
( ) A component of an article to be produced for sale by manufacturing, assembling, processing, or refining.

( ) Rental or leasing of a tangible personal property.
( ) Use in accordance with provisions of Rule No. 68
(A copy of the letter must be given to the vendor.)
( )________________________________________________________________________
(Indicate the purpose for which the property is bought when no Sales Tax is to be collected)
Sales Tax Registration Number Name of the Dealer _____________________
of the Purchaser_______________________ By__________________________________
Date _______________________________ Address_____________________________
WARNING
This Certificate must be completed and signed before it is valid.
The vendor must know, within the use of ordinary care, that merchandise obtained upon this certificate of resale is normally sold by the vendee in his usual course of business. Vendors failing to excercise such care will be held liable for the Sales Tax due upon such purchases.
Any merchandise obtained upon this resale certificate is subjected to the Sales and Use Tax if it is used or consumed by the vendee in any manner, and must be reported and the tax paid thereon direct to the Department of Revenue.
SECTION 67-3041 OF THE "TENNESSEE CODE ANNOTED" MAKES IT A MISDEMEANER TO MISUSE A CERTIFICATE OF REGISTRATION WITHOUT PAYING THE SALES AND USES TAXES, AND SUBJECTS THE CERTIFICATE TO REVOCATION.
RV-0024
07-002-0104