Company Partnership Information- Verification

Please enter the following Information regarding each Partner. Upon entering the partner information, a confirmation e-mail will be sent regarding your Partnership Reseller's Permit / State Sales Tax Certificate Number confirmation.

Partnership / Owner # 1

Referred to as " Partner #1 " throughout this Electronic Document in request for a Resale Permit / State Sales Tax Number

Partnership Owner #1 - Name*

First Last

Partnership Owner #1 - Address*

Street Address City ZIP Code

Partnership Owner #1 - Social Security Number*

Partnership Owner #1 - Date of Birth*

Partnership / Owner # 2

Referred to as " Partner #2 " throughout this Electronic Document in request for a Resale Permit / State Sales Tax Number

Partnership Owner #2 - Name*

First Last

Partnership Owner #2 - Address*

Street Address City ZIP Code

Partnership Owner #2 - Date of Birth*

Partnership Owner #2 - Social Security Number*

Signature Confirmation*

I am the named above, an authorized agent or officer, for the company listed above, and I am confirming the order.

Signature of Authorized Person / Officer*

Electronically signing this form will confirm your order. An e-mail confirmation will be sent upon submission of the form.

Company Partnership Information- Verification

Company Partnership Verification Form

Company Information

Partnership / Owner # 1

Partnership / Owner # 2