Form – gittrackr.com

New Jersey Division of Taxation
Sales Tax
Resale Certificate

Check applicable box:

Single-Purchase Certificate

Blanket Certificate

The seller must collect Sales Tax on the sale of taxable property or services unless the purchaser gives them a fully completed exemption certificate

Name

Address

Street Address City State / Province / Region ZIP / Postal Code

New Jersey Taxpayer Identification Number

Name

As registered with the New Jersey Division of Taxation

Address

Street Address City State / Province / Region ZIP / Postal Code

Type of Business

Test Signature Field