KANSAS EXEMPTION CERTIFICATE
I certify that the sale of tangible personal property or service by:
(Vendor's name)
of ....... Kansas, to me or to the entity that I represent is exempt from the tax levied by the Kansas retailers' sales and compensating tax act for the following reasons:
As purchaser, I understand and agree that if the property or service is used in any manner that is not exempt from tax under the act, the entity that I represent becomes liable for the tax, as do I personally.
Date: _____
Purchaser:
(Signature and SSN or FEIN)
Name of the entity:
Address:
KANSAS RESALE EXEMPTION CERTIFICATE
(Name of purchaser)
(Address of purchaser)
I hereby certify that: I hold valid retailer registration No. ______ issued pursuant to the Kansas sales and compensating tax law;
I am engaged in the business of selling:
The tangible personal property described herein which I shall purchase from:
(Vendor's name)
will be resold by me in the form of tangible personal property;
I further agree that, if any of the property is used for any purpose other than retention, demonstration, or display while holding it for resale in the regular course of business, I will report and pay Kansas state and local sales tax to the Kansas Department of Revenue, based on the amount that I paid for the property.
Description of property to be purchased:
Date: _____
(Signature of purchaser or authorized agent and SSN or FEIN)
Kan. Admin. Regs. § 92-19-25b