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Resale Tax Exemption Form
 
 
Name of Purchaser *
 
Address of Purchaser *
 
Retail Registration number *
Issued pursuant to the Kansas Sales and Compensating Tax Law; that I am engaged in the business of selling:
 
Item(s) selling: *
That the tangible personal property described herein which I shall purchase from:
 
Name and Address of Seller *
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 Kansas Sales and Compensating Tax Law to report and pay tax, measured by the purchase price of such property.
 
Description of property to be purchased: *
 
Date *
 
Name of Purchaser or Authorized Agent *
STD-28A(Rev.2/91)
The KANSAS DEPARTMENT OF REVENUE has informed our company that we are required to carry a Resale Tax Exemption Certificate on all of our customer accounts. When filling out the above form, please make certain all the blank
areas are completed and that you have typed your name and dated.
If you receive this notice and are not considered to be Tax-Exempt, please call me at 1-800-835-1010 or 316-263-8179 and I will correct this on your account.
Thank you for your time concerning this matter. Your prompt response will be greatly appreciated.
Sincerely,
WASHER SPECIALTIES COMPANY
 

Phone: 316 263-8179 or 800 835-1010, Fax: 316 263-2040 or 800 835-1150
224 Indiana,    Wichita,  Ks   67214
8:00 AM to 5:30 PM M-F,  8:00-Noon on Saturday,  Closed on Sundays and Holidays.
Tempstar Distributor for Kansas


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