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Resale Certificate Request Form
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To obtain a Resale Certificate with copies of required documents, please complete the following information:
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| Property Address for Resale Certificate: | * |
| Tentative Closing Date: | * |
| Company Name: | * |
| Nature of Business: | * |
| Contact Person: | * |
| Address: | * |
| City: | * |
| State: | * |
| Zip Code: | * |
| Phone Number: | * |
| Fax Number: | * |
| Email Address: | * |
| Web Site Address (if any): | |
| To prevent automated SPAM, please enter YN8Q to submit your form (case sensitive): | * |
* indicates required field
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