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Application for re-seller certificate

Application for re-seller certificate form

 

City of Gustavus

 

P.O. Box 1

 

Gustavus, Alaska  99826

 

907-697-2451

 

APPLICATION FOR RE-SELLER CERTIFICATE

 

 

I, _____________________________________________________________, _________________________

                        Name                                                                           Title

 

representing ________________________________________________________________, a business

                                                         Business  Name

 

located in the City of Gustavus, Alaska, whose mailing address is:

 

     P.O. Box _________________________

                                                                                               

                                                               Gustavus, Alaska  99826

                                                           

                                                           

hereby apply for a Sales Tax Re-seller Certificate under Section 4.15.020 of the City of Gustavus Sales Tax Ordinance.

 

I am aware that a re-seller must maintain a physical presence with the City of Gustavus, must register with the City Clerk, or the official administering this ordinance and report their sales.

I am aware the service or goods sold has to be directly integrated in the services or goods sold by me.  I am aware I must provide the original service provider with my sales tax account number.  I am aware the service or goods must be purchased separately for each resale.  I am aware the service must be identified, charged for and billed separately from any other service to the ultimate consumer.  I am aware the entire transaction is subject to a 2% Sales Tax.  I am aware I must provide the seller with adequate proof that the service or goods will be resold according to the ordinance (example: a sample invoice showing itemization of the resold service or goods to the seller).

 

____________________________________________________________________      ___________________

Signature                                                                                                          Date

Applications MUST be accompanied by the following required attachments:

 

1.         Payment of the $_____________________application fee, and

2.         A completed City of Gustavus Business Registration Form – This requirement only applies to businesses that maintain a physical presence with the City of Gustavus that have not previously registered with the City Clerk or the official administering this ordinance.

 

Applications received without the required documents or payment will not be processed.

 

FOR OFFICE USE ONLY

 

Certificate Number _________________  Date _______________________________

 

Fee Paid$___________________      Cash_________ Check #_____________

 

                                                    __________________________________________

                                                     Ben Sadler, City Clerk, Gustavus

 
 

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