Uniform MTC (Revised 07/2002)
Uniform Sales & Use Tax Certificate—Multijurisdiction Resale certificate for purchases from the seller below
Issued to Seller Fraser Engines and Transmissions
The below-listed states have indicated that this form of certificate is acceptable, subject to the notes on pages 2–4. The issuer and the recipient have the responsibility of determining the proper use of this certificate under applicable laws in each state, as these may change from time to time.
1 I certify that: Buyer
Name of Firm (Buyer) Required
Address Required
2 Is engaged as a registered
Check all that apply. Required
Wholesaler
Retailer
Manufacturer
Seller (California)
Lessor
Other (specify)
Other: specify Required
…and is registered with the below listed states and cities within which your firm would deliver purchases to us and that any such purchases are for wholesale, resale, ingredients or components of a new product or service1 to be resold, leased, or rented in the normal course of business. We are in the business of wholesaling, retailing, manufacturing, leasing (renting) the following:
Description of Business Required
General description of tangible property or taxable services to be purchased from the seller Required
3 State Registration, Seller’s Permit, or ID Number of Purchaser
Tap each state where you’re registered and where we’d deliver your orders, then enter your registration number for that state. At least one
AL2 AR AZ22 CA3 CO1 CT4 DC5 FL23 GA6 HI1,7 ID IL1,8 IA KS KY24 ME9 MD10 MI11 MN12 MO13 NE14 NV NJ NM1,15 NC25 ND OH26 OK16 PA27 RI17 SC SD18 TN TX19 UT VT WA20 WI21
Selected states will appear here with a box for your number.
Numbers next to a state refer to that state’s note on pages 2–4. Your state not listed? Call us at 800-731-3177 and we’ll send the right form.
☎ Contact for this certificate
Not part of the certificate. We use it if we have a question about your certificate.
4 Certification & signature
I further certify that if any property or service so purchased tax free is used or consumed by the firm as to make it subject to a Sales or use Tax we will pay the tax due directly to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall be a part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked by the city or state.
Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter.
Company website
Submit Resale Certificate
Sent over a secure connection and kept on file by Fraser Engines and Transmissions. Questions? Call 800-731-3177 .