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RESELLER TAX FORM                    
1 (800) 422-2444; (818) 566-9898; FAX: (818) 566-8989
Videotape Products, Inc., 2721 W. Magnolia Blvd., Burbank, CA  91505
 

PRINT, COMPLETE, AND MAIL THIS FORM WITH A COPY OF YOUR RESELLER PERMIT TO VTP
IF YOU ARE A RESELLER

 
  FIRM NAME
_______________________________________________________________________________________
 
  I HEREBY CERTIFY,
  that I hold valid seller's permit no.__________________________________________________________________
  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 checked below which I shall purchase from
  VIDEOTAPE  PRODUCTS INC., 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 retail sales tax act to report and pay the tax, measured by the purchase price of
  such property. 
 
  Description of property to be purchased.

  [   ] VIDEO AND            [   ] VIDEO               [    ] CCTV            [    ] COMPUTER        [   ] OTHER
         AUDIO TAPE                EQUIPMENT             EQUIPMENT          SUPPLIES                ____________________
  DATE                                                     AT
  THIS CERTIFICATE IS GOOD UNTIL REVOKED IN WRITING (Rubberstamp or typewritten signature not valid)
  PURCHASER SIGN HERE x
  ADDRESS                                                      CITY                                    STATE         ZIP                 TELEPHONE
                                                                                                                                                                (           )

ORIGINAL SIGNATURE MUST BE ON FILE AT VTP