C.M. HOSKINS COMPANY
Manufacturers Representative
13035 Lake City Way NE, Seattle WA 98125-4428
206-366-1100 Fax 366-3076
Alaska 907-522-7044 Fax 522-7045

In accordance with Washington State Law, we must have a signed resale certificate on file in our office for material purchased by your firm for resale. Therefore we cannot accept the resale certificate submitted online unsigned.  For your convenience in filling out the certificate, we supply this copy which may be completed on the computer, printed, then faxed or mailed to us.

RESALE CERTIFICATE

Washington State * Department of Revenue

1. Name of Seller: C M Hoskins Company

2. Name of Buyer/Business

 

3. Address of Buyer 
City:
State: Zip:

4. Buyer's UBI/Revenue Registration Number

5. Buyer is in the business of

6. Types of items purchased for resale

I (the buyer) certify that I am purchasing the items listed, for resale in the regular course of business without intervening use in the regular course of business.

Signer's Name

Signature _______________________________________________________

Effective Date through

                     (Not to Exceed 4 years)

No certificate on file Expired certificate

Please complete the resale certificate above and fax to our office as soon as possible. Thank you.

First Request Second Request