I hereby certify that I hold valid seller's permit number .......... issued pursuant to chapters 372, 374 and 377 of the Nevada Revised Statutes; that I am engaged in the business of selling or publishing ................................(name and type of newspaper); that the tangible personal property described in the second paragraph of this certificate, which I purchase from ................................, will be resold by me in the form of tangible personal property or will become a part of a newspaper regularly issued at average intervals not exceeding 1 week. I further certify that, in the event any of the property is used for any purpose other than that specified above or other than retention, demonstration or display while holding it for sale in the regular course of business, I will report and pay the tax measured by the purchase price of the property.
Description of the property to be purchased:
..................................................................................................................................................
..................................................................................................................................................
Purchaser....................................................................
Address
Dated: .......... (day) of ............ (month) of ........ (year)
at.....................................................
........................................................
Signature of Authorized Purchaser
No permit held since the oversigned sells no tangible personal property other than newspapers.
Nev. Admin. Code § 372.640
NRS 360.090, 372.165, 372.235, 372.725