Poundex Associates Corporation

Business Name

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Type of Business

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Years in Business

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No. of Locations

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Website

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Business Address

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Suite

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City

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State

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Zip Code

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Telephone

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Fax

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Owner Name

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Email

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Telephone

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Address

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City

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State

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Zip Code

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Authorized Buyer Name

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Authorized Buyer Email

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Tax ID / License Number

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Description of Property

Name

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Title / Designation

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Date

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Signature

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For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation code in your State. If the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale license to avoid payment to the seller of an amount as tax. Additionally, a person misusing a certificate for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus any penalties or fines

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Business

California Business

Outside California Business

Required Document(s):
Resale License (Seller Permit), DCA License.
Must have one of the following: Retail Store, Online Store, or Swap Meet — Lot rent receipt
Note: Personal names or residential addresses are not accepted.

Required Document(s):
Business License OR State Tax ID License.
Must have one of the following: Retail Store, Online Store, or Swap Meet — Lot rent receipt
Note: Personal names or residential addresses are not accepted.

Upload Document(s) (max 3 files, max 10 MB each)

Please upload a valid document (PDF, PNG, JPG; max 10 MB).

Upload at least 1 valid document.

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