TANGIBLE PERSONAL PROPERTY
FOR RESALE BY A NONRESIDENT DEALER
This is to certify that the tangible personal property described below will be transported outside Florida for resale and for no other purpose.
NAME OF SELLING DEALER: _______________________________________________________________________________
DEALER'S ADDRESS: ______________________________________________________________________________________
DEALER'S SALES TAX NO.: ________________________________________________________________________________
NAME OF NONRESIDENT DEALER: _________________________________________________________________________
ADDRESS OF NONRESIDENT DEALER: ______________________________________________________________________
HOME STATE'S SALES TAX NO.: ___________________________________________________________________________
PASSPORT OR VISA NO.: __________________________________________________________________________________
ARRIVAL-DEPARTURE CARD NO.: _________________________________________________________________________
PURCHASER'S EVIDENCE OF AUTHORITY TO DO BUSINESS IN HOME STATE:
______________________________________________________________________
The tangible personal property purchased in Florida on INVOICE NUMBER(S) ______, or described as follows, is solely for resale outside Florida.
Description of Property: ______________________________________________________________________________________
Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true to the best of my knowledge and belief.
__________________________________________________ ________________________________________
Signature of Purchasing Nonresident Dealer Date
Account Management MS 1-5730
Florida Department of Revenue
5050 W. Tennessee St.
Tallahassee FL 32399-0160
Fla. Admin. Code Ann. R. 12A-1.0015
Rulemaking Authority 212.06(5)(b)13., 212.18(2), 213.06(1) FS. Law Implemented 212.02(20), 212.05(1), 212.06(1), (2), (5), 212.12(9), 212.13(1), (2), (3), (4), 212.21(3), 213.37 FS.
New 6-12-03, Amended 6-14-22.